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Campylobacter enteritis in childhood.

T Iwami, Y Kajiwara, M Yamagishi

    Journal of UOEH
    |March 1, 1987
    PubMed
    Summary
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    Campylobacter enteritis is common in young children, with diarrhea and fever as primary symptoms. C. jejuni strains showed high sensitivity to several antibiotics, including erythromycin.

    Area of Science:

    • Pediatrics
    • Microbiology
    • Infectious Diseases

    Background:

    • Acute enteritis in infants and children is a significant health concern.
    • Bacteriological examinations are crucial for identifying causative agents of pediatric enteritis.

    Observation:

    • Campylobacter jejuni was the most frequently isolated pathogen (15%) from 321 children with acute enteritis.
    • Enteropathogenic Escherichia coli and Salmonella species were less common, isolated in 3.4% and 1.9% of cases, respectively.
    • Campylobacter enteritis incidence was highest in children under 2 years old.

    Findings:

    • Diarrhea (94%), fever (50%), and bloody stools (44%) were the predominant symptoms of Campylobacter enteritis.
    • All isolated C. jejuni strains demonstrated high sensitivity to gentamicin, amikacin, kanamycin, erythromycin, josamycin, and chloramphenicol.

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  • Two mild cases of C. enteritis were documented, including a newborn with bleeding stools and diarrhea, and an infant with Wiskott-Aldrich syndrome presenting with asymptomatic bloody stools.

    • Implications:

    • Early identification of Campylobacter jejuni is vital for appropriate treatment of pediatric enteritis.
    • Antibiotic sensitivity data guides effective therapeutic strategies for Campylobacter infections in children.
    • Understanding the demographic and clinical features of C. enteritis aids in managing outbreaks and improving patient outcomes.