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Updated: Oct 1, 2025

Culture Methods to Determine the Limit of Detection and Survival in Transport Media of Campylobacter Jejuni in Human Fecal Specimens
08:23

Culture Methods to Determine the Limit of Detection and Survival in Transport Media of Campylobacter Jejuni in Human Fecal Specimens

Published on: March 10, 2020

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Acute abdominal emergency due to infectious enteritis: an observational study comparing Campylobacter spp. to other

Matthildi Athina Papathanasiou Terzi1, Guy Prod'hom2, Antony Croxatto2

  • 1Service of Paediatrics, Department Women-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.

Swiss Medical Weekly
|March 9, 2022
PubMed

Insights

Campylobacter gastroenteritis can mimic an acute abdominal emergency in children. Key indicators include localized pain, reduced well-being, and abdominal tenderness, distinguishing these cases from typical gastroenteritis.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Diseases
  • Surgical Emergencies

Background:

  • Campylobacter spp. are a common cause of gastroenteritis in children.
  • Some cases present as acute abdominal emergencies, requiring careful diagnosis.

Purpose of the Study:

  • To identify the distinct clinical characteristics of pediatric patients with Campylobacter gastroenteritis who present with acute abdominal emergencies.
  • To differentiate these cases from other causes of gastroenteritis.

Main Methods:

  • Retrospective, single-center observational study of pediatric patients (<18 years) with positive Campylobacter stool cultures.
  • Matching Campylobacter cases with non-Campylobacter gastroenteritis cases.
  • Defining "acute abdomen" (AA) cases based on radiographic investigation or surgical consultation.

Main Results:

  • Nineteen of 141 Campylobacter cases were identified as AA.
  • AA cases showed less diarrhea (74% vs 97%), lower well-being (44% vs 7%), localized pain (50% vs 17%), and abdominal tenderness (11% vs 0%).
  • Campylobacter infection correlated with surgical/radiological evaluation (RR 3.6).

Conclusions:

  • A subset of Campylobacter gastroenteritis patients present as acute abdominal emergencies.
  • The presentation is primarily characterized by the nature of abdominal pain and associated symptoms.
  • Early recognition is crucial for appropriate management.
Abstract

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