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Campylobacter bacteremia in children

R P Reed1, I R Friedland, F O Wegerhoff

  • 1Shongwe Mission Hospital, South Africa.

The Pediatric Infectious Disease Journal
|April 1, 1996
PubMed
Summary

Children with malnutrition are at higher risk for Campylobacter jejuni bacteremia, a serious infection. Prompt management is crucial for these vulnerable pediatric patients.

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Area of Science:

  • Pediatric Infectious Diseases
  • Microbiology

Background:

  • Campylobacter bacteremia is a significant concern in children, particularly in resource-limited settings.
  • Understanding the clinical profile and risk factors is essential for effective management.

Observation:

  • A study reviewed 19 cases of Campylobacter bacteremia in children from impoverished South African communities.
  • Malnutrition was prevalent, with 84% of affected children exhibiting malnutrition, 13 severely.
  • Fever was present in 68% of cases; 21% did not present with diarrhea.

Findings:

  • All isolates were identified as Campylobacter jejuni.
  • The case fatality rate was 16%, with no clear influence of aminoglycoside treatment noted.

Implications:

  • Malnutrition may increase susceptibility to gastrointestinal Campylobacter jejuni infections.
  • Immunodeficiency and compromised intestinal mucosa due to malnutrition elevate the risk of bacteremia.
  • Campylobacter jejuni bacteremia is a life-threatening condition requiring appropriate medical intervention.

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