Last reviewed: September 2018
Last updated: September  2018

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
  • white blood cell 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 Medicine

Rosalind Franklin University Medical School

North Chicago

Illinois Adjunct

Professor of Pediatric Gastroenterology

University of Miami

Miller Medical School

Miami

Florida

Associate Director for Research

Internal Medicine Residency Advocate

Lutheran General Hospital

Park Ridge

Illinois

Disclosures

EDE declares that he is a consultant for Pediatric Pharmaceuticals. .

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

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.

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