Year 2016 / Volume 108 / Number 10
Digestive Diseases Image
Fatal Campylobacter jejuni ileocolitis

662-663

Marta Magaz Martínez, Aurelio Garrido Botella, Fernando Pons Renedo, Borja Oliva del Río, Bélen Agudo Castillo, Pilar Ibarrola Arévalo, Luis Esteban Abreu García,

Abstract
Campylobacter infection usually starts in the jejunum and ileum and progresses distally. The case fatality rate is low and most occur in elderly or patients with comorbidity as in this case. Antibiotics should be used in severe cases or patients at risk. The choices are macrolides and fluoroquinolones. However, in some countries quinolone resistance is increasing, as in Spain. We shouldn´t forget this fact for the proper treatment approach and specifically in refractory cases.
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References
1- Gradel KO, Schønheyder HC, Dethlefsen C et al. “Morbidity and mortality of elderly patients with zoonotic Salmonella and Campylobacter: a population-based study”. J Infect 2008;57:214-22. DOI: 10.1016/j.jinf.2008.06.013
2- Nelson JM, Smith KE, Vugia DJ et al. “Prolonged diarrhea due to ciprofloxacin-resistant campylobacter infection”. J Infect Dis. 2004;190:1150-7. DOI: 10.1086/423282
3- Pacanowski J, Lalande V, Lacombe K et al. CAMPYL Study Group. “Campylobacter bacteremia: clinical features and factors associated with fatal outcome”. Clin Infect Dis. 2008;47:790-8. DOI: 10.1086/591530
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Magaz Martínez M, Garrido Botella A, Pons Renedo F, Oliva del Río B, Agudo Castillo B, Ibarrola Arévalo P, et all. Fatal Campylobacter jejuni ileocolitis. 3996/2015


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Publication history

Received: 03/09/2015

Accepted: 13/10/2015

Published: 30/09/2016

Article revision time: 35 days

Article editing time: 393 days


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