Capnocytophaga canimorsus is a fastidious, capnophilic, thin gram-negative rod that may cause zoonotic infections when patients are exposed to the oral flora of dogs, and rarely, cats. It can present as cellulitis, or less commonly, meningitis, but is particularly known to cause florid sepsis in immunocompromised hosts, most commonly asplenics, those with hematologic malignancies, or alcohol abusers. We report the case of a 70-year-old immunocompetent woman who presented with altered mental status and was diagnosed with C. canimorsus meningitis.

No abstract

No abstract

West Nile virus (WNV) is an arbovirus, which is transmitted by mosquitoes. Transmission peaks in the late summer and early fall. In 2018, Virginia had 47 total cases of WNV, 37 of which were neuroinvasive with 7 reported deaths. Risk factors for neuroinvasive WNV include advanced age, history of organ transplantation, and hematologic malignancy especially those actively undergoing chemotherapy. Here we discuss a case of a patient with stage 4 follicular cell lymphoma with recent chemotherapy and radiation therapy, who was found to have severe neuroinvasive seronegative WNV encephalitis with flaccid paralysis.