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[Acute Campylobacter jejuni gastroenteritis in children. Study of 23 cases]
Insights
Acute Campylobacter jejuni (CJ) enteritis is a common bacterial cause of diarrhea in children. Most cases resolve without antibiotic treatment, highlighting the importance of supportive care.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Campylobacter jejuni (CJ) is a frequent cause of bacterial enteritis in children.
- Understanding CJ enteritis epidemiology and clinical presentation is crucial for pediatric care.
Purpose of the Study:
- To analyze the epidemiologic, pathogenic, clinical, and therapeutic aspects of acute Campylobacter jejuni enteritis in hospitalized children.
Main Methods:
- Retrospective study of 23 hospitalized children with acute CJ enteritis.
- Analysis of 906 fecal cultures from children aged 1 month to 14 years over an 8-month period.
Main Results:
- CJ was isolated in 3.6% of fecal cultures.
- The clinical presentation included diarrhea, fever, and abdominal pain.
- Most cases were self-limiting and confined to the digestive tract.
Conclusions:
- Campylobacter jejuni is a significant cause of bacterial enteritis in children.
- Clinical assessment can be challenging in younger children.
- Recovery typically occurs without antibiotic intervention.
Abstract:
Twenty-three cases of acute Campylobacter jejuni (CJ) enteritis were studied over à 8 month-period in hospitalized children. 906 fecal cultures were collected during the same period from children aged 1 month to 14 years. CJ was isolated in 33 (3.6%). The authors analyse the epidemiologic, pathogenic, clinical and therapeutic aspects of the disease in the 23 hospitalized children. After Salmonella, CJ is one of the most frequent etiologic agents for bacterial acute enteritis; its pathogenic mechanism is that of an invasion, mainly enteric. The clinical picture consists of diarrhea, fever and abdominal pain, difficult to assess accurately in young children. The disease is usually limited to the digestive tract and recovery occurs without antibiotic therapy.