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Campylobacter enterocolitis

R S Mensh, M H Brand, F J Troncale

    Journal of Clinical Gastroenterology
    |June 1, 1981
    PubMed
    Summary
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    Campylobacter fetus subspecies jejuni can cause bloody diarrhea and colitis, often seen in patients with infected dogs. Erythromycin therapy effectively treats this enterocolitis, which is increasingly common.

    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Gastroenterology

    Background:

    • Campylobacter fetus subspecies jejuni is an emerging cause of enterocolitis, potentially surpassing Salmonella and Shigella in frequency.
    • While often causing mild, watery diarrhea, it can also present as acute colitis.

    Observation:

    • Four patients presented with bloody diarrhea and colitis attributed to Campylobacter fetus subspecies jejuni.
    • Two of these patients had pet dogs that also tested positive for Campylobacter fetus in their stools.

    Findings:

    • All four patients demonstrated a rapid and complete recovery following treatment with erythromycin.
    • The clinical and pathological presentation of acute colitis caused by Campylobacter fetus subspecies jejuni is indistinguishable from other causes of acute colitis.

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    Implications:

    • Clinicians should consider Campylobacter fetus subspecies jejuni in the differential diagnosis for patients presenting with bloody diarrhea and acute colitis.
    • Prompt diagnosis and treatment with erythromycin can lead to favorable outcomes.
    • Recognizing the increasing prevalence of this pathogen is crucial for public health and clinical management.