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1.
Ann Vasc Surg ; 72: 664.e1-664.e6, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33227459

ABSTRACT

Degenerative aneurysms of the superficial femoral artery (SFA) are relatively rare and often recognized when they become symptomatic such as rupture. Infected SFA aneurysms are much rarer, especially those caused by Campylobacter fetus bacteremia. We report a case of a 67-year-old woman referred to our hospital owing to the presence of a painful reddish swelling on her left thigh. A huge SFA aneurysm rupture was diagnosed, and endovascular treatment with a covered stent was performed. C. fetus was detected in the blood culture thereafter, and antibacterial therapy was successfully performed without any additional surgical interventions. She remained well without any evidence of indolent infection 19 months after the endovascular treatment. The endovascular approach with appropriate prolonged antibacterial therapy would be a feasible alternative for managing selected infected aneurysm cases.


Subject(s)
Aneurysm, Infected/surgery , Aneurysm, Ruptured/surgery , Blood Vessel Prosthesis Implantation , Campylobacter Infections/surgery , Campylobacter fetus/isolation & purification , Endovascular Procedures , Femoral Artery/surgery , Aged , Aneurysm, Infected/diagnostic imaging , Aneurysm, Infected/microbiology , Aneurysm, Ruptured/diagnostic imaging , Aneurysm, Ruptured/microbiology , Anti-Bacterial Agents/therapeutic use , Bacteremia/drug therapy , Bacteremia/microbiology , Blood Vessel Prosthesis , Blood Vessel Prosthesis Implantation/instrumentation , Campylobacter Infections/diagnostic imaging , Campylobacter Infections/microbiology , Endovascular Procedures/instrumentation , Female , Femoral Artery/diagnostic imaging , Femoral Artery/microbiology , Humans , Stents , Treatment Outcome
2.
BMJ Case Rep ; 13(3)2020 Mar 22.
Article in English | MEDLINE | ID: mdl-32205380

ABSTRACT

A 58-year-old woman presented to the emergency department in a district general hospital with severe abdominal pain and diarrhoea, after collapsing at home. She was admitted to the intensive care unit (ICU) in septic shock, and with acute kidney injury. An initial CT scan was suggestive of colitis. She was treated for suspected gastroenteritis and her microbiology results showed Campylobacter coli as the causative organism. She failed to respond to antibiotics, and underwent serial contrast CTs which showed no progression of colitis. Colonoscopy performed on day 10 of her admission, however, revealed fulminant colitis. After a multidisciplinary meeting among gastroenterologists, general surgeons and intensivists, the patient underwent total colectomy with ileostomy. She made a slow but steady recovery in ICU, and subsequently in the ward, and was discharged to a local community hospital for further rehabilitation.


Subject(s)
Campylobacter Infections/complications , Colitis/microbiology , Megacolon, Toxic/microbiology , Multiple Organ Failure/microbiology , Campylobacter Infections/surgery , Campylobacter coli , Colectomy , Colitis/complications , Diagnosis, Differential , Female , Humans , Ileostomy , Megacolon, Toxic/surgery , Middle Aged , Multiple Organ Failure/surgery
3.
World Neurosurg ; 119: 353-357, 2018 Nov.
Article in English | MEDLINE | ID: mdl-30144607

ABSTRACT

BACKGROUND: Infectious aneurysm is a rare complication in intracranial aneurysm. Moreover, giant aneurysm is a rare entity in intracranial aneurysm. In the great majority of infectious intracranial aneurysms, vasculitis and/or endocarditis is associated. CASE DESCRIPTION: Here, we report the case of an 83-year-old man who developed a giant infectious intracranial aneurysm on the anterior communicating artery. This patient had never shown any intracranial bleeding. A surgery was performed, and purulent liquid and aneurysm wall were removed during procedure. The bacteriologic analyses reported Campylobacter fetus. CONCLUSIONS: This bacterium seems to be more and more frequent in North America and Europe, according to the current literature. Moreover, cases of mycotic extracranial aneurysm were reported. Here we report the first case of intracranial giant infectious aneurysm in an adult patient, without any endocarditis or vasculitis. This new entity could be the cause of a bacterial graft on an asymptomatic giant preexisting intracranial aneurysm or a consequence of campylobacteriosis.


Subject(s)
Aneurysm, Infected/complications , Campylobacter Infections/complications , Campylobacter/pathogenicity , Intracranial Aneurysm/etiology , Aged, 80 and over , Aneurysm, Infected/diagnostic imaging , Aneurysm, Infected/microbiology , Aneurysm, Infected/surgery , Campylobacter Infections/diagnostic imaging , Campylobacter Infections/surgery , Computed Tomography Angiography , Humans , Intracranial Aneurysm/diagnostic imaging , Intracranial Aneurysm/microbiology , Intracranial Aneurysm/surgery , Magnetic Resonance Imaging , Male
4.
Intern Med ; 54(16): 2021-4, 2015.
Article in English | MEDLINE | ID: mdl-26278295

ABSTRACT

A 67-year-old man with a persistent high fever was diagnosed to have an infective aneurysm in his left internal iliac artery. A blood culture detected a gram-negative spiral rod that was first identified as Campylobacter fetus subsp. venerealis based on a matrix-assisted laser desorption/ionization time of flight mass spectrometry (MALDI-TOF MS) analysis. However, the strain was finally confirmed to be Campylobacter fetus subsp. fetus based on a genetic analysis. The infection was successfully treated with emergency resection of the aneurysm, followed by 4 weeks of antibiotic therapy. Involvement of the peripheral artery is uncommon in cases of C. fetus-infective aneurysm. To figure out the epidemiology and pathogenicity of C. fetus infection, the accurate identification of the responsible organisms is essential.


Subject(s)
Aneurysm, Infected/diagnosis , Campylobacter Infections/diagnosis , Campylobacter fetus/isolation & purification , Fever/microbiology , Iliac Aneurysm/diagnosis , Iliac Artery/microbiology , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization , Aged , Aneurysm, Infected/drug therapy , Aneurysm, Infected/surgery , Anti-Bacterial Agents/administration & dosage , Campylobacter Infections/drug therapy , Campylobacter Infections/surgery , Cefotaxime/administration & dosage , Fever/etiology , Humans , Iliac Aneurysm/drug therapy , Iliac Aneurysm/surgery , Levofloxacin/administration & dosage , Male , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/methods , Treatment Outcome
6.
Ann Vasc Surg ; 29(1): 122.e9-11, 2015 Jan.
Article in English | MEDLINE | ID: mdl-24930978

ABSTRACT

BACKGROUND: Mycotic aneurysms of the popliteal artery are uncommon. Popliteal aneurysms rarely rupture. The authors present the second reported case of popliteal artery rupture as a result of Campylobacter fetus infection. This report confirms the arterial destructive potential of C. fetus infection in a peripheral artery. METHODS: An 85-year-old male who had previously undergone endovascular abdominal aortic aneurysm repair in 2007 presented with positive blood cultures for C. fetus. No endocarditis was detected. No periprosthetic fluid to suggest aortic endograft infection was present. During hospitalization for sepsis, he developed acute right knee pain and swelling. A 5.2-cm popliteal aneurysm, with contained rupture, was found on ultrasound and confirmed by computed tomography and angiography. Recommendations for treatment and a literature review are provided. RESULTS: This patient was successfully managed with total excision of the aneurysm via a posterior approach with reconstruction through a medial approach using autologous saphenous vein bypass. Culture-directed antibiotic therapy (6 weeks of intravenous ertapenem) to eradicate the pathogen completed the therapy. The patient is doing well at 18- month follow-up. CONCLUSIONS: Mycotic popliteal aneurysm associated with C. fetus is a rare but potentially fatal condition. Isolating C. fetus should alert the surgeon to the peripheral arterial destructive potential of this pathogen, as manifested by acute rupture in this patient. Traditional resection through a posterior approach and revascularization through noncontaminated tissue with culture-directed therapy are the treatments of choice.


Subject(s)
Aneurysm, Infected/microbiology , Aneurysm, Ruptured/microbiology , Campylobacter Infections/microbiology , Campylobacter fetus/isolation & purification , Popliteal Artery/microbiology , Aged, 80 and over , Aneurysm, Infected/diagnosis , Aneurysm, Infected/surgery , Aneurysm, Ruptured/diagnosis , Aneurysm, Ruptured/surgery , Angiography, Digital Subtraction , Anti-Bacterial Agents/therapeutic use , Campylobacter Infections/diagnosis , Campylobacter Infections/surgery , Humans , Male , Popliteal Artery/surgery , Saphenous Vein/transplantation , Tomography, X-Ray Computed , Treatment Outcome
7.
Ann Vasc Surg ; 28(8): 1933.e7-1933.e14, 2014 Nov.
Article in English | MEDLINE | ID: mdl-25017776

ABSTRACT

Campylobacter spp. usually cause gastrointestinal infections, but among them, Campylobacter fetus is a well-known organism causing mycotic abdominal aortic aneurysm (MAAA), which requires proper surgical intervention and antibiotic therapy. We report a 65-year-old man who was successfully treated by an in situ operation using a rifampicin (RFP)-bonded J-Graft for C. fetus-induced MAAA. We performed a review of the English literature on MAAA caused by C. fetus and summarized the results of the cases (28 cases). All but 2 of the patients (92.9%) were men. Blood culture and arterial wall culture were positive in 63% and 73.1% of the cases, respectively. Aneurysm rupture was seen in half of the patients, and approximately half of those patients died. Among the 18 patients who underwent in situ graft replacement, only 1 patient (5.6%) died after surgery. Antibiotic therapy was performed for more than 1 month in most cases, and overall mortality rate was 25.9% (7 of 27 cases, 3 deaths before the operation and 4 deaths after surgery). Although extra-anatomic bypass has been conventionally performed after complete resection of an MAAA, the utility of in situ surgery has generally been recognized. Our review suggests that the in situ operation can be a choice also in cases of C. fetus-associated MAAA. Furthermore, our case suggested the clinical utility of a newly manufactured prosthetic graft, J-Graft, for such surgical treatment.


Subject(s)
Aneurysm, Infected/microbiology , Aortic Aneurysm, Abdominal/microbiology , Campylobacter Infections/microbiology , Campylobacter fetus/isolation & purification , Aged , Aneurysm, Infected/diagnosis , Aneurysm, Infected/surgery , Anti-Bacterial Agents/administration & dosage , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/surgery , Aortography/methods , Biopsy , Blood Vessel Prosthesis , Blood Vessel Prosthesis Implantation/instrumentation , Campylobacter Infections/diagnosis , Campylobacter Infections/surgery , Coated Materials, Biocompatible , Humans , Male , Prosthesis Design , Rifampin/administration & dosage , Tomography, X-Ray Computed , Treatment Outcome
9.
Scand J Infect Dis ; 45(9): 706-10, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23808718

ABSTRACT

Few cases of Campylobacter prosthetic joint infection (PJI) have been reported so far. We describe the demographic characteristics, underlying conditions, clinical features, treatment, and outcome of 8 patients with Campylobacter PJI in our hospital. All strains were confirmed at the French National Reference Center for Campylobacter and Helicobacter. Seven patients were infected with C. fetus and 1 with C. jejuni. Most patients were elderly and immunocompromised. Four had bacteremia, one of these with a pacemaker endocarditis. All the patients received at least 3 months of antibiotic treatment and 6 were treated surgically. The outcome was favorable at 2 years of follow-up in all except for 1 patient. Campylobacter PJI cases are rare but likely to become more frequent. C. fetus bacteremia should motivate physicians to look for a secondary localization such as a Campylobacter PJI.


Subject(s)
Arthroplasty, Replacement, Hip/adverse effects , Arthroplasty, Replacement, Knee/adverse effects , Campylobacter Infections/etiology , Campylobacter Infections/microbiology , Campylobacter/isolation & purification , Prosthesis-Related Infections/microbiology , Aged , Aged, 80 and over , Anti-Bacterial Agents/therapeutic use , Campylobacter/drug effects , Campylobacter Infections/drug therapy , Campylobacter Infections/surgery , Drug Resistance, Bacterial , Female , Humans , Male , Middle Aged , Prosthesis-Related Infections/drug therapy , Prosthesis-Related Infections/surgery , Treatment Outcome
10.
Vascular ; 17(4): 226-9, 2009.
Article in English | MEDLINE | ID: mdl-19698305

ABSTRACT

This is a case report of a patient with Campylobacter fetus involving bilateral internal iliac artery aneurysms. The patient was treated successfully by ligation of the bilateral iliac artery aneurysms and antibiotics. According to a review of the English-language medical literature, this was the first such patient to be reported. A 69-year-old African-American male presented with a past medical history of repair of a 6.6 cm abdominal aortic aneurysm. It had been repaired with a Dacron bifurcated graft in July 2005. The bilateral internal iliac artery aneurysms (right 2.3 cm and left 3.4 cm) were coil embolized intraoperatively. The patient's past medical history was significant for hypertension and coronary artery disease and was status post-stent placement. He re-presented with fever and chills for 8 days in duration at home in March 2007. His fever was 101 to 102 degrees F. He denied vomiting, diarrhea, and a history of recent travel. The patient was admitted to the hospital for a fever workup. After an extensive workup, a left internal iliac artery aneurysm was found to be the source of sepsis. The patient was taken to the operating room for excision of the left internal iliac artery. No purulence was noted, but tissue overlying the aneurysm was thickened and fibrotic. Multiple cultures were taken. The tissue culture came back as C. fetus. Incidentally, the patient's preoperative computed tomographic scan revealed a right internal iliac artery aneurysm that was 4.2 cm on March 28, 2007, and 4.9 cm on April 23, 2007. Postoperatively, the patient's right internal iliac artery aneurysm was noted to be rapidly growing. He was promptly taken to the operating room for ligation of the right internal iliac artery aneurysm. The patient's postoperative course was unremarkable. He was discharged on ciprofloxacin for 14 days.


Subject(s)
Aneurysm, Infected/diagnosis , Campylobacter Infections/diagnosis , Campylobacter fetus , Iliac Aneurysm/diagnosis , Aged , Aneurysm, Infected/surgery , Campylobacter Infections/surgery , Humans , Iliac Aneurysm/surgery , Magnetic Resonance Angiography , Male , Tomography, X-Ray Computed
11.
J Vasc Surg ; 48(4): 815-20, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18692356

ABSTRACT

PURPOSE: Few reports of aortoiliac aneurysms infected by Campylobacter fetus are available. We report five cases and review previous reports, with a view to describing the clinical pattern, treatment options, and outcome of this infection. METHODS: During a 10-year period, 21 patients were diagnosed with C fetus infection in the Department of Clinical Microbiology, five of whom had an infected arterial aneurysm. We retrospectively reviewed their medical charts. Diagnosis was made on the basis of clinical presentation, computed tomography scan, perioperative findings, and identification of C fetus in at least one blood culture or culture from an aneurysm specimen. Late outcome of surviving patients was assessed by telephone interview. RESULTS: We identified four aortic aneurysms and one hypogastric aneurysm. All patients were seen in an emergency setting. Five had fever and abdominal pain, and three had contained rupture. Campylobacter fetus was found in blood cultures of four patients and in the aneurysm specimen of one patient. Three patients were treated by open repair and two by endovascular repair. One patient treated endovascularly died from septic shock due to C fetus at 2 weeks. One patient treated by open surgery underwent reoperation for persistent infection. The remaining patients were cured, but one died at 5 months of an unrelated cause. All surviving patients received long-term antibiotic therapy. CONCLUSION: Campylobacter fetus infection of aortoiliac aneurysms is a serious condition with a high rate of rupture. However, long-term success can be obtained with prompt surgical treatment and an appropriate antibiotic regimen. The benefits of stent grafts remain debatable.


Subject(s)
Aneurysm, Infected/complications , Aortic Aneurysm, Abdominal/complications , Campylobacter Infections/complications , Campylobacter fetus , Iliac Aneurysm/complications , Aged , Aneurysm, Infected/diagnosis , Aneurysm, Infected/surgery , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/surgery , Campylobacter Infections/diagnosis , Campylobacter Infections/surgery , Humans , Iliac Aneurysm/diagnosis , Iliac Aneurysm/surgery , Male , Retrospective Studies
12.
J Arthroplasty ; 20(3): 401-5, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15809962

ABSTRACT

We present the first documented case of a bilateral prosthetic knee joint infection with Campylobacter fetus. Our patient's risk factors included age, the presence of prosthetic joints, and potential exposure through his contact with farm animals. It is important to be aware of the possibility of C fetus joint infections in high-risk patients who present with pain after total joint arthroplasty.


Subject(s)
Arthroplasty, Replacement, Knee , Campylobacter Infections/microbiology , Campylobacter fetus , Postoperative Complications/microbiology , Prosthesis-Related Infections/microbiology , Surgical Wound Infection/microbiology , Aged , Anti-Bacterial Agents , Campylobacter Infections/surgery , Device Removal , Diagnosis, Differential , Drug Therapy, Combination/therapeutic use , Follow-Up Studies , Humans , Male , Microbial Sensitivity Tests , Postoperative Care , Postoperative Complications/surgery , Prosthesis-Related Infections/surgery , Reoperation , Surgical Wound Infection/surgery
13.
Clin Microbiol Infect ; 9(9): 970-2, 2003 Sep.
Article in English | MEDLINE | ID: mdl-14616689

ABSTRACT

A 51-year-old man presented with acute cholecystitis and the routine intraoperative culture of the bile grew Campylobacter jejuni. The patient was cured by laparoscopic cholecystectomy without specific antimicrobial treatment. Cholecystitis owing to Campylobacter spp. could be missed because a culture for Campylobacter is not routinely requested nor is it cost effective to look for it in bile or gallbladder specimens. Moreover, the fastidious nature of these bacteria dictates against their recovery in routine culture. Because this is a rare infection at this site, a review of the literature on this infection is included.


Subject(s)
Campylobacter Infections/microbiology , Campylobacter jejuni/growth & development , Cholecystolithiasis/microbiology , Campylobacter Infections/surgery , Cholecystectomy, Laparoscopic , Cholecystolithiasis/surgery , Humans , Male , Middle Aged
14.
Z Gastroenterol ; 38(4): 307-9, 2000 Apr.
Article in English | MEDLINE | ID: mdl-10820863

ABSTRACT

The development of toxic megacolon as a sequel of infectious colitis is rare. We have observed the very rare case of a campylobacter jejuni-induced toxic megacolon. A 28-year-old man was admitted with severe enterocolitis and appearance of blood in stools. He had been treated with loperamide without success. Two days after admission stool cultures revealed campylobacter jejuni and then an oral antibiotic therapy was started. On the fifth day clinical performance deteriorated again with development of toxic megacolon and consecutive subtotal colectomy. Rectoscopy before discharge after 13 days showed a normal mucosa. The unusual course with first improvement and then rapid deterioration despite adequate therapy was observed in 4 other cases, which may also be a hint of ensuing megacolon. Even in usually harmless enterocolitis like campylobacter infection, predisposing factors such as loperamide are known to precipitate toxic megacolon and should be considered in clinical practice.


Subject(s)
Campylobacter Infections/diagnosis , Campylobacter jejuni , Colitis/diagnosis , Megacolon, Toxic/diagnosis , Adult , Campylobacter Infections/surgery , Colectomy , Colitis/surgery , Disease Progression , Humans , Ileostomy , Loperamide/administration & dosage , Loperamide/adverse effects , Male , Megacolon, Toxic/surgery , Risk Factors
15.
Surg Today ; 28(6): 661-4, 1998.
Article in English | MEDLINE | ID: mdl-9681621

ABSTRACT

A 45-year old man with fever, abdominal pain, and a pulsating mass underwent an aneurysmectomy, with in situ reconstruction using a bifurcated knitted Dacron graft, for a saccular abdominal aortic aneurysm (AAA). A culture taken postoperatively grew Campylobacter fetus subspecies fetus. The administration of antibiotics sensitive to this organism was continued for 3 months, and no infection has been encountered in the 1 year since his operation. This is only the 13th documented case of AAA infected by C. fetus subspecies fetus.


Subject(s)
Aneurysm, Infected/surgery , Aortic Aneurysm, Abdominal/surgery , Campylobacter Infections/surgery , Campylobacter fetus , Aneurysm, Infected/microbiology , Aortic Aneurysm, Abdominal/microbiology , Humans , Male , Middle Aged
16.
Neurol Med Chir (Tokyo) ; 37(8): 637-9, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9301203

ABSTRACT

A 70-year-old male presented with rapid neurological deterioration and fever 3 months after suffering a closed head trauma. He underwent craniotomy for possible subdural empyema based on computed tomography and clinical findings. Dural incision revealed an outer membrane typical of chronic subdural hematoma which covered a clear, yellowish fluid containing Campylobacter fetus. Histological examination confirmed the capsule of the hematoma, with a necrotic focus infiltrated by neutrophils. Administration of intravenous imipenem and topical tobramycin and cefalothin achieved total resolution of his neurological deficits. Development of the infected subdural effusion was probably secondary to bacterial infection in the pre-existing chronic subdural hematoma in the resolving stage. The presence of the hematoma capsule always carries the risk of development of an infectious focus.


Subject(s)
Campylobacter Infections/surgery , Campylobacter fetus , Empyema, Subdural/surgery , Hematoma, Subdural/surgery , Subdural Effusion/surgery , Aged , Anti-Bacterial Agents , Campylobacter Infections/diagnosis , Campylobacter Infections/pathology , Chronic Disease , Combined Modality Therapy , Craniotomy , Drug Therapy, Combination/therapeutic use , Empyema, Subdural/diagnosis , Empyema, Subdural/pathology , Head Injuries, Closed/complications , Head Injuries, Closed/diagnosis , Head Injuries, Closed/pathology , Hematoma, Subdural/diagnosis , Hematoma, Subdural/pathology , Humans , Male , Subdural Effusion/diagnosis , Subdural Effusion/pathology , Subdural Space/pathology
17.
Isr J Med Sci ; 31(11): 696-7, 1995 Nov.
Article in English | MEDLINE | ID: mdl-7591706

ABSTRACT

An 83-year-old man with acute cholecystitis caused by Campylobacter jejuni is described. The patient was cured after undergoing cholecystectomy and intravenous ofloxacin therapy.


Subject(s)
Campylobacter Infections/microbiology , Campylobacter jejuni , Cholecystitis/microbiology , Acute Disease , Aged , Aged, 80 and over , Anti-Infective Agents/administration & dosage , Campylobacter Infections/drug therapy , Campylobacter Infections/surgery , Cholecystectomy , Cholecystitis/drug therapy , Cholecystitis/surgery , Humans , Injections, Intravenous , Male , Ofloxacin/administration & dosage
18.
Clin Infect Dis ; 18(3): 443-6, 1994 Mar.
Article in English | MEDLINE | ID: mdl-8011832

ABSTRACT

We report two cases of Campylobacter fetus endocarditis. The first case involved a bicuspid native aortic valve in a 60-year-old woman, and the second involved a prosthetic aortic valve in a 76-year-old woman. No source of infection was identified in either case. Despite antibiotic therapy, hemodynamic deterioration necessitated valve replacement; both patients recovered completely. C. fetus is an uncommon cause of human infection but may be responsible for severe illnesses such as endocarditis and thrombophlebitis because of its tendency to attack the vascular endothelium. Review of the literature revealed 21 cases of endocarditis caused by this organism, usually involving the aortic valve. To our knowledge, there are only two reported cases of prosthetic valve endocarditis. Our second patient is the oldest one encountered so far with this condition.


Subject(s)
Campylobacter Infections/etiology , Campylobacter fetus , Endocarditis, Bacterial/etiology , Aged , Anti-Bacterial Agents/therapeutic use , Aortic Valve , Campylobacter Infections/drug therapy , Campylobacter Infections/surgery , Combined Modality Therapy , Endocarditis, Bacterial/drug therapy , Endocarditis, Bacterial/surgery , Female , Heart Valve Prosthesis/adverse effects , Humans , Middle Aged
19.
Gastroenterol Clin Biol ; 18(3): 281-4, 1994.
Article in French | MEDLINE | ID: mdl-7926445

ABSTRACT

Campylobacter jejuni is an enteropathogen with invasive ability which may be responsible for acute colitis. We report the case of a 38-year-old woman who was hospitalized for severe acute colitis. Stool specimen examination revealed Campylobacter jejuni. A laparotomy was performed due to clinical deterioration and toxic megacolon. Colic perforations were observed. The examination of the colectomy specimen revealed ulcerative pancolitis. This is the first published case of Campylobacter jejuni infection complicated by toxic megacolon and perforation.


Subject(s)
Campylobacter Infections/complications , Campylobacter jejuni/isolation & purification , Colitis/microbiology , Ileitis/microbiology , Megacolon, Toxic/complications , Adult , Campylobacter Infections/microbiology , Campylobacter Infections/pathology , Campylobacter Infections/surgery , Colectomy , Colitis/complications , Colitis/pathology , Colitis/surgery , Colonic Diseases/etiology , Colonic Diseases/surgery , Female , Humans , Ileitis/complications , Ileitis/surgery , Intestinal Perforation/etiology , Intestinal Perforation/surgery , Megacolon, Toxic/pathology , Megacolon, Toxic/surgery
20.
Aust N Z J Surg ; 64(1): 55-8, 1994 Jan.
Article in English | MEDLINE | ID: mdl-8267541

ABSTRACT

Patients with Campylobacter enterocolitis may come to laparotomy due to the severity of abdominal symptoms and signs, although only two patients with intestinal inflammation have been described and in neither was the histopathology documented. A case of a 52-year-old male who had a typical diarrhoeal illness of Campylobacter enterocolitis diagnosed on stool culture is reported. Despite appropriate treatment he developed signs and symptoms consistent with small intestinal obstruction. Laparotomy revealed peritonitis and thickened distal ileum with transmural inflammatory changes on histopathology. These changes were shown to have completely resolved at a second laparotomy, required for persistent obstruction due to adhesions. Recurrent adhesions culminated in a third laparotomy. The clinical, operative and histopathological findings may be confused with Crohn's disease.


Subject(s)
Campylobacter Infections/complications , Campylobacter jejuni , Enterocolitis/complications , Ileal Diseases/etiology , Ileitis/etiology , Intestinal Obstruction/etiology , Peritonitis/etiology , Campylobacter Infections/pathology , Campylobacter Infections/surgery , Enterocolitis/pathology , Enterocolitis/surgery , Humans , Ileal Diseases/pathology , Ileal Diseases/surgery , Ileitis/pathology , Ileitis/surgery , Ileum/pathology , Ileum/surgery , Intestinal Obstruction/pathology , Intestinal Obstruction/surgery , Laparotomy , Male , Middle Aged , Peritonitis/pathology , Peritonitis/surgery , Recurrence , Reoperation
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