Abstract We
report a rare case of
Campylobacter fetus bacteremia in a 50-year-old
woman following
kidney transplantation .
Bacteremia was complicated by multivisceral signs such as multiple splenic
abscesses , bacterial
hepatitis ,
erythema nodosum and
reactive arthritis . Despite a prolonged diagnostic delay, the
diagnosis was made on
blood culture identification and the global outcome was favorable with adequate antibiotherapy.
Reports in the
literature describe a high rate of
mortality for
Campylobacter spp.
septicemia , with most
patients being immunocompromised. However,
Campylobacter spp. has been rarely described in renal
transplant patients . Moreover, a splenic septic
localization due to
Campylobacter spp. has been reported only once to our
knowledge . Clinicians should be aware of the diagnostic difficulties related to the frequent negativity of stool samples in C.
fetus septicemia , in order to implement a tailored medical strategy. Some data suggest that rapid introduction of adapted
antibiotic therapy is associated with a reduction in
mortality .