Campylobacter infection

Summary

  • Campylobacter infection is one of the leading causes of acute diarrhoea worldwide and is the most commonly reported bacterial cause of acute gastroenteritis in developed countries. It is also a major cause of traveller's diarrhoea.
  • Campylobacter jejuni is the primary cause of acute enteritis, causing 80% to 90% of all cases of recognised illness due to Campylobacter infection. Campylobacter coli is the second most common cause of acute enteritis. Campylobacter fetus is a rare cause of extra-intestinal infection, mainly in immunocompromised people.
  • Campylobacters are carried by a wide variety of wild and domestic animals, most commonly birds. Most C jejuni infections come from infected poultry.
  • Diarrhoea is usually self-limited and resolves in 5 to 7 days. Campylobacter bacteraemia is very rare.
  • Fluid and electrolyte replacement is essential. Only a small proportion of patients benefit from antimicrobial therapy.
  • C jejuni infection is a commonly identified antecedent to Guillain-Barre syndrome. C fetus is associated with endovascular problems (e.g., mycotic aneurysm, septic thrombophlebitis).
Last updated: Apr 30, 2012
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