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Perinatal Campylobacter fetus ss jejuni enteritis

Insights

A newborn infant experienced Campylobacter jejuni-associated diarrhea, likely transmitted from his mother. Both mother and infant mounted significant antibody responses to the bacteria, confirming infection.

Area of Science:

  • Pediatric Infectious Diseases
  • Microbiology
  • Immunology

Background:

  • Campylobacter jejuni is a leading cause of bacterial gastroenteritis worldwide.
  • Neonatal infections with Campylobacter jejuni are rare but can be severe.
  • Understanding transmission routes and host immune responses is crucial for prevention and treatment.

Observation:

  • A 2-day-old breast-fed infant presented with mucoid and bloody diarrhea.
  • Campylobacter fetus subspecies jejuni was isolated from the infant's stool but not blood.
  • The infant's mother experienced similar symptoms one day prior, suggesting a transmission source.

Findings:

  • The infant's illness was attributed to Campylobacter jejuni infection, likely acquired from his mother.
  • Both the infant and mother demonstrated specific IgM, IgG, and IgA antibody responses to Campylobacter jejuni.
  • Enzyme-linked immunosorbent assay (ELISA) confirmed the antibody responses to both autologous and reciprocal bacterial strains.

Implications:

  • This case highlights the potential for mother-to-infant transmission of Campylobacter jejuni.
  • The study demonstrates an active immune response in both mother and neonate to Campylobacter jejuni infection.
  • Further research into neonatal Campylobacter jejuni infections and associated immune responses is warranted.

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