Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Campylobacter Enteritis in 188 Hospitalized Patients

Campylobacter Enteritis in 188 Hospitalized Patients Abstract • The clinical picture and epidemiologic characteristics of infection due to Campylobacter fetus subspecies jejuni were studied in 188 patients hospitalized in Finland during a three-year period. All but two patients had diarrhea; 90% had abdominal pain, fever, and fatigue; half had vomiting and headache; one third experienced electrolyte disturbances; and one fifth of the patients had other complications, most commonly pancreatitis (6%) and arthritis (5%). All age groups were affected, most usually those who were 0 to 9 years old and 20 to 29 years old. The incidence of domestic cases increased during the summer months. With only three exceptions (1.3%), all jejuni strains were sensitive to erythromycin. Among Finns who visited ten popular tourist countries, the incidence of hospitalized C jejuni enteritis cases varied from 0 to 63 per 100,000 travelers. (Arch Intern Med 1983;143:215-219) References 1. Skirrow MB: Campylobacter enteritis: A 'new' disease. Br Med J 1977;2:9-11.Crossref 2. Campylobacter infections: 1977-1980. Br Med J 1981;282:1484. 3. Blaser MJ, Reller L: Campylobacter enteritis. N Engl J Med 1981;305: 1444-1452.Crossref 4. Pitkänen T, Pettersson T, Pönkä A, et al: Clinical and serological studies in patients with Campylobacterfetus ssp. jejuni infection: I. Clinical findings. Infection 1981;9:274-278.Crossref 5. Walder M: Epidemiology of Campylobacter enteritis. Scand J Infect Dis 1982;14:27-33. 6. Enteric infections due to Campylobacter, Yersinia, Salmonella, and Shigella: WHO Scientific Working Group. Bull WHO 1980;58:519-537. 7. Pönkä A, Pitkänen T, Kosunen TU: Campylobacter enteritis mimicking acute abdominal emergency. Acta Chir Scand 1981;147:663-666. 8. Butzler JP, Skirrow MB: Campylobacter enteritis. Clin Gastroenterol 1979;8:737-765. 9. Newman A, Lambert JR: Campylobacter jejuni causing flare-up in inflammatory bowel disease. Lancet 1980;2:919.Crossref 10. Blaser MJ, Parsons RB, Wang W-LL: Acute colitis caused by Campylobacter fetus ss. jejuni. Gastroenterology 1980;78:448-453. 11. McKinley MJ, Taylor M, Sangree MH: Toxic megacolon with Campylobacter colitis. Conn Med 1980;44:496-497. 12. Pönkä A, Kosunen TU: Pancreas affection in association with enteritis due to Campylobacter fetus ss. jejuni. Acta Med Scand 1981;209: 239-240.Crossref 13. Gallagher P, Chadwick P, Jones DM, et al: Acute pancreatitis associated with Campylobacter infection. Br J Surg 1981;68:383.Crossref 14. Kosunen TU, Kauranen O, Martio J, et al: Reactive arthritis after Campylobacter jejuni enteritis in patients with HLA-B27. Lancet 1980;1: 1312-1313.Crossref 15. Menck H: Campylobacter jejuni enteritis complicated by glomerulonephritis. Ugeskr Laeger 1981;143:1020-1021. 16. Pönkä A, Martio J, Kosunen TU: Reiter's syndrome in association with enteritis due to Campylobacter fetus ssp. jejuni. Ann Rheum Dis 1981;40:414-415.Crossref 17. Norrby R, McCloskey RV, Zackrisson G, et al: Meningitis caused by Campylobacter fetus ssp. jejuni. Br Med J 1980;280:1164.Crossref 18. Davies JS, Penfold JB: Campylobacter urinary infection. Lancet 1979;1:1091-1092.Crossref 19. Kowalec JK, Kaminski ZC, Krey PR: Campylobacter arthritis. Arthritis Rheum 1980;23:92-94.Crossref 20. Drake AA, Gilchrist MJ, Washington JA II, et al: Diarrhea due to Campylobacter fetus subspecies jejuni: A clinical review of 63 cases. Mayo Clin Proc 1981;56:414-423. 21. Svedhem Å Kaijser B: Campylobacter fetus subspecies jejuni: A common cause of diarrhea in Sweden. J Infect Dis 1980;142:353-359.Crossref 22. Blaser MJ, Berkowitz ID, LaForce FM, et al: Campylobacter enteritis: Clinical and epidemiologic features. Ann Intern Med 1979;91:179-185.Crossref 23. Lambert ME, Schonfield PF, Ironside AG, et al: Campylobacter enteritis. Br Med J 1979;1:758-859. 24. Colgan T, Lambert JR, Newman A, et al: Campylobacter jejuni enterocolitis: A clinicopathologic study. Arch Pathol Lab Med 1980;104: 571-574. 25. Michalak DM, Perrault J, Gilchrist MJ, et al: Campylobacter fetus ssp. jejuni: A cause of massive lower gastrointestinal hemorrhage. Gastroenterology 1980;79:742-745. 26. Meuwissen SGM, Bakker PJM, Rietra PJGM: Acute ulceration of ileal stoma due to Campylobacter fetus subspecies jejuni. Br Med J 1981;282:1362.Crossref 27. Fitzgeorge RB, Baskerville A, Lander KP: Experimental infection in Rhesus monkeys with a human strain of Campylobacter jejuni. J Hyg 1981;86:343-351.Crossref 28. Kosunen TU, Pitkänen T, Pettersson T, et al: Clinical and serological studies in patients with Campylobacter fetus ssp. jejuni infection: II. Serological findings. Infection 1981;9:282.Crossref 29. Pitkänen T, Pettersson T, Pönkä A, et al: Effect of erythromycin on the fecal excretion of Campylobacter fetus subspecies jejuni. J Infect Dis 1982;145:128.Crossref 30. Anders BJ, Lauer BA, Paisley JW, et al: Double-blind placebocontrolled trial of erythromycin for treatment of Campylobacter enteritis. Lancet 1982;1:131-132.Crossref 31. Karmali MA, DeGrandis S, Fleming PC: Antimicrobial susceptibility of Campylobacter jejuni with special reference to resistance patterns of Canadian isolates. Antimicrob Agents Chemother 1981;19:593-597.Crossref 32. Pitkänen T: Travellers' diarrhoea caused by Campylobacter jejuni. Ann Clin Res 1982;14:111-113. 33. Echeverria P, Blacklow NR, Sanford LB, et al: Travelers' diarrhea among American Peace Corps volunteers in rural Thailand. J Infect Dis 1981;143:767-771.Crossref 34. Ryder RW, Oquist CA, Greenberg H, et al: Travelers' diarrhea in Panamanian tourists in Mexico. J Infect Dis 1981;144:442-448.Crossref 35. Kendrick MA: Summary of study on illness among Americans visiting Europe. J Infect Dis 1972;126:685-687.Crossref 36. Robinson DA, Jones DM: Milk-borne Campylobacter infection. Br Med J 1981;1:1374-1376.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Campylobacter Enteritis in 188 Hospitalized Patients

Loading next page...
 
/lp/american-medical-association/campylobacter-enteritis-in-188-hospitalized-patients-cWm9yIZYeo
Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1983.00350020033007
Publisher site
See Article on Publisher Site

Abstract

Abstract • The clinical picture and epidemiologic characteristics of infection due to Campylobacter fetus subspecies jejuni were studied in 188 patients hospitalized in Finland during a three-year period. All but two patients had diarrhea; 90% had abdominal pain, fever, and fatigue; half had vomiting and headache; one third experienced electrolyte disturbances; and one fifth of the patients had other complications, most commonly pancreatitis (6%) and arthritis (5%). All age groups were affected, most usually those who were 0 to 9 years old and 20 to 29 years old. The incidence of domestic cases increased during the summer months. With only three exceptions (1.3%), all jejuni strains were sensitive to erythromycin. Among Finns who visited ten popular tourist countries, the incidence of hospitalized C jejuni enteritis cases varied from 0 to 63 per 100,000 travelers. (Arch Intern Med 1983;143:215-219) References 1. Skirrow MB: Campylobacter enteritis: A 'new' disease. Br Med J 1977;2:9-11.Crossref 2. Campylobacter infections: 1977-1980. Br Med J 1981;282:1484. 3. Blaser MJ, Reller L: Campylobacter enteritis. N Engl J Med 1981;305: 1444-1452.Crossref 4. Pitkänen T, Pettersson T, Pönkä A, et al: Clinical and serological studies in patients with Campylobacterfetus ssp. jejuni infection: I. Clinical findings. Infection 1981;9:274-278.Crossref 5. Walder M: Epidemiology of Campylobacter enteritis. Scand J Infect Dis 1982;14:27-33. 6. Enteric infections due to Campylobacter, Yersinia, Salmonella, and Shigella: WHO Scientific Working Group. Bull WHO 1980;58:519-537. 7. Pönkä A, Pitkänen T, Kosunen TU: Campylobacter enteritis mimicking acute abdominal emergency. Acta Chir Scand 1981;147:663-666. 8. Butzler JP, Skirrow MB: Campylobacter enteritis. Clin Gastroenterol 1979;8:737-765. 9. Newman A, Lambert JR: Campylobacter jejuni causing flare-up in inflammatory bowel disease. Lancet 1980;2:919.Crossref 10. Blaser MJ, Parsons RB, Wang W-LL: Acute colitis caused by Campylobacter fetus ss. jejuni. Gastroenterology 1980;78:448-453. 11. McKinley MJ, Taylor M, Sangree MH: Toxic megacolon with Campylobacter colitis. Conn Med 1980;44:496-497. 12. Pönkä A, Kosunen TU: Pancreas affection in association with enteritis due to Campylobacter fetus ss. jejuni. Acta Med Scand 1981;209: 239-240.Crossref 13. Gallagher P, Chadwick P, Jones DM, et al: Acute pancreatitis associated with Campylobacter infection. Br J Surg 1981;68:383.Crossref 14. Kosunen TU, Kauranen O, Martio J, et al: Reactive arthritis after Campylobacter jejuni enteritis in patients with HLA-B27. Lancet 1980;1: 1312-1313.Crossref 15. Menck H: Campylobacter jejuni enteritis complicated by glomerulonephritis. Ugeskr Laeger 1981;143:1020-1021. 16. Pönkä A, Martio J, Kosunen TU: Reiter's syndrome in association with enteritis due to Campylobacter fetus ssp. jejuni. Ann Rheum Dis 1981;40:414-415.Crossref 17. Norrby R, McCloskey RV, Zackrisson G, et al: Meningitis caused by Campylobacter fetus ssp. jejuni. Br Med J 1980;280:1164.Crossref 18. Davies JS, Penfold JB: Campylobacter urinary infection. Lancet 1979;1:1091-1092.Crossref 19. Kowalec JK, Kaminski ZC, Krey PR: Campylobacter arthritis. Arthritis Rheum 1980;23:92-94.Crossref 20. Drake AA, Gilchrist MJ, Washington JA II, et al: Diarrhea due to Campylobacter fetus subspecies jejuni: A clinical review of 63 cases. Mayo Clin Proc 1981;56:414-423. 21. Svedhem Å Kaijser B: Campylobacter fetus subspecies jejuni: A common cause of diarrhea in Sweden. J Infect Dis 1980;142:353-359.Crossref 22. Blaser MJ, Berkowitz ID, LaForce FM, et al: Campylobacter enteritis: Clinical and epidemiologic features. Ann Intern Med 1979;91:179-185.Crossref 23. Lambert ME, Schonfield PF, Ironside AG, et al: Campylobacter enteritis. Br Med J 1979;1:758-859. 24. Colgan T, Lambert JR, Newman A, et al: Campylobacter jejuni enterocolitis: A clinicopathologic study. Arch Pathol Lab Med 1980;104: 571-574. 25. Michalak DM, Perrault J, Gilchrist MJ, et al: Campylobacter fetus ssp. jejuni: A cause of massive lower gastrointestinal hemorrhage. Gastroenterology 1980;79:742-745. 26. Meuwissen SGM, Bakker PJM, Rietra PJGM: Acute ulceration of ileal stoma due to Campylobacter fetus subspecies jejuni. Br Med J 1981;282:1362.Crossref 27. Fitzgeorge RB, Baskerville A, Lander KP: Experimental infection in Rhesus monkeys with a human strain of Campylobacter jejuni. J Hyg 1981;86:343-351.Crossref 28. Kosunen TU, Pitkänen T, Pettersson T, et al: Clinical and serological studies in patients with Campylobacter fetus ssp. jejuni infection: II. Serological findings. Infection 1981;9:282.Crossref 29. Pitkänen T, Pettersson T, Pönkä A, et al: Effect of erythromycin on the fecal excretion of Campylobacter fetus subspecies jejuni. J Infect Dis 1982;145:128.Crossref 30. Anders BJ, Lauer BA, Paisley JW, et al: Double-blind placebocontrolled trial of erythromycin for treatment of Campylobacter enteritis. Lancet 1982;1:131-132.Crossref 31. Karmali MA, DeGrandis S, Fleming PC: Antimicrobial susceptibility of Campylobacter jejuni with special reference to resistance patterns of Canadian isolates. Antimicrob Agents Chemother 1981;19:593-597.Crossref 32. Pitkänen T: Travellers' diarrhoea caused by Campylobacter jejuni. Ann Clin Res 1982;14:111-113. 33. Echeverria P, Blacklow NR, Sanford LB, et al: Travelers' diarrhea among American Peace Corps volunteers in rural Thailand. J Infect Dis 1981;143:767-771.Crossref 34. Ryder RW, Oquist CA, Greenberg H, et al: Travelers' diarrhea in Panamanian tourists in Mexico. J Infect Dis 1981;144:442-448.Crossref 35. Kendrick MA: Summary of study on illness among Americans visiting Europe. J Infect Dis 1972;126:685-687.Crossref 36. Robinson DA, Jones DM: Milk-borne Campylobacter infection. Br Med J 1981;1:1374-1376.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Feb 1, 1983

References