Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • abdominal pain
  • diarrhoea

Other diagnostic factors

  • prodrome of headache, myalgias, chills, fever
  • vomiting

Risk factors

  • HIV infection
  • exposure to poultry, cattle, sheep, or other farm animals
  • eating raw or undercooked meat (especially chicken)
  • recent foreign travel
  • recent travel to developing countries
  • drinking well or surface water
  • drinking unpasteurised milk
  • male sex
  • age <1 year
  • close contact with infected person
  • use of proton pump inhibitors or H2 antagonists, especially in older patients

Diagnostic investigations

1st investigations to order

  • stool microscopy
  • stool culture
  • WBC count
Full details

Investigations to consider

  • serum Campylobacter serology
  • intestinal biopsy
  • faecal microscopy
  • stool Gram stain
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Emergency Medicine

West Virginia University School of Medicine

Morgantown

WV

Disclosures

GJ declares that he has no competing interests.

Dr Gregory Juckett would like to gratefully acknowledge Dr Kristin Furfari and Professor Sarah O'Brien, the previous contributors to this monograph. KF declares that she has no competing interests. SOB is the author of some of the references cited in this monograph.

Peer reviewers VIEW ALL

Assistant Professor

Section of Digestive Diseases

Department of Medicine

West Virginia University

Morgantown

WV

Disclosures

JTK declares that he has no competing interests.

Consultant in Infectious Diseases and Clinical Microbiology

University College London Hospitals NHS Foundation Trust

Windeyer Institute of Medical Sciences

London

UK

Disclosures

SMJ declares that he has no competing interests.

Senior Associate

Department of Population, Family and Reproductive Health

Bloomberg School of Public Health

Johns Hopkins University

Baltimore

MD

Disclosures

MB declares that he has no competing interests.

Use of this content is subject to our disclaimer