Campylobacter enteritis: Clinical and epidemiologic features

M. J. Blaser, I. D. Berkowitz, F. M. LaForce, J. Cravens, L. B. Reller, W. L. Wang

Research output: Contribution to journalArticlepeer-review

320 Scopus citations

Abstract

Campylobacter fetus subspecies (ssp.) jejuni has been recently recognized to cause diarrheal disease in man. To assess its importance as an enteric pathogen, the authors prospectively studied 514 patients with diarrhea. Campylobacter fetus ssp. jejuni was isolated from the feces of 26 patients (5%) and 7 of 11 of their symptomatic household contacts. This organism was isolated from the feces of only 1 of 18 asymptomatic household contacts and not at all from 157 other healthy persons. Seventeen of 20 patients from whom C. fetus ssp. jejuni was isolated from fecal culture showed at least a 4-fold rise in specific IgG titers. Review of 35 cases of campylobacter enteritis identified a typical clinical syndrome with acute onset of diarrhea, abdominal pain, fever, and constitutional symptoms. Stool examination revealed blood in 60% and polymorphonuclear leukocytes in 78% of patients. Epidemiologic investigation strongly suggested an external source for the infection in 22 of 35 patients.

Original languageEnglish (US)
Pages (from-to)179-185
Number of pages7
JournalAnnals of internal medicine
Volume91
Issue number2
DOIs
StatePublished - 1979
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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