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Multidrug-Resistant Campylobacter jejuni Bacteremia Case Following Sheepskin Wrap Application

Berk Akçalı1, Esra Kazak1, Zeinep Chavouz Ametoglou2

  • 1Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Bursa Uludağ University, Bursa, Türkiye.

Vector Borne and Zoonotic Diseases (Larchmont, N.Y.)
|December 25, 2025
PubMed
Abstract

Insights

Multidrug-resistant Campylobacter jejuni caused severe systemic infection in an immunocompromised patient via transdermal acquisition. Early meropenem treatment resolved persistent bacteremia, underscoring risks of non-sterile practices.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Immunology

Background:

  • Campylobacter jejuni typically causes gastrointestinal illness.
  • Severe systemic infections can occur in immunocompromised hosts.
  • Increasing resistance to macrolides, fluoroquinolones, and tetracyclines is reported.

Purpose of the Study:

  • To report a case of severe systemic infection caused by multidrug-resistant Campylobacter jejuni in an immunocompromised patient.
  • To highlight the potential for transdermal acquisition of C. jejuni.
  • To emphasize the clinical challenges of multidrug-resistant strains.

Main Methods:

  • Case report of a 27-year-old male with X-linked agammaglobulinemia.
  • Analysis of blood and wound cultures.
  • Antimicrobial susceptibility testing (MICs).
  • Clinical management and treatment response.

Main Results:

  • Recurrent foot cellulitis progressed to fever and chills.
  • Blood cultures yielded multidrug-resistant C. jejuni; wound culture grew Citrobacter braakii.
  • C. jejuni isolates showed high MICs to macrolides, fluoroquinolones, and tetracycline.
  • Meropenem initiated for persistent bacteremia led to rapid clinical improvement.

Conclusions:

  • Transdermal acquisition of C. jejuni is possible in immunodeficient patients.
  • Multidrug-resistant strains pose significant clinical challenges.
  • Education on risks associated with non-sterile traditional practices is crucial.

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