[Campylobacter: a vintage pathogen to the fore].

Area of Science:

• Microbiology
• Infectious Diseases
• Nephrology

Background:

• Campylobacteriosis, caused by Gram-negative bacteria like C. jejuni and C. coli, is an emerging public health issue in Europe, occasionally leading to sepsis.
• While rare, Campylobacteriosis can be more prevalent than salmonellosis in some regions, highlighting its significance.

Observation:

• A 66-year-old patient with hypertension and ischemic heart disease presented with acute diarrhea, shock, and acute kidney injury (AKI).
• Given the seasonal incidence of Campylobacter and the patient's symptoms, specific testing for Campylobacter was performed alongside standard coproculture.

Findings:

• Campylobacter was identified as the causative agent in the patient's condition.
• The patient received volume resuscitation and antibiotic therapy, leading to complete recovery of kidney function within one week.

Implications:

• This case underscores the importance of considering Campylobacteriosis in patients presenting with severe gastrointestinal symptoms and AKI, especially in endemic areas.
• Prompt diagnosis and appropriate management, including fluid and antibiotic therapy, are crucial for favorable outcomes in severe Campylobacter infection, preventing long-term complications.