Campylobacter jejuni is estimated to be amongst the most important bacteria causing gastroenteritis worldwide, particularly in the developing countries. Consumption of contaminated food and water, undercooked poultry, and dairy products are the main sources of human infection. Diarrhea accompanied by cramping, abdominal pain, and fever are the main symptoms. A number of complications may be seen with Campylobacter jejuni infection, one of them being Guillain-Barré syndrome. Microbiological confirmation is vital in the diagnostic workup.
Presentation
Campylobacter jejuni is known for its rather important role in the pathogenesis of gastrointestinal infections. It is described as one of the main causes of acute gastroenteritis in all parts of the world [1] [2] [3] [4] [5]. In the United States and the Western world, the infection is more commonly encountered in adults, whereas children under 2 years of age are the main patient population in the developing world [1] [4]. In order for Campylobacter jejuni infection to occur, humans must ingest this microorganism from contaminated animal products, such as undercooked or raw meat (poultry, beef) and dairy products (unprocessed milk) [1] [2] [5] [6]. However, consumption of contaminated water, poor hygiene, and sanitation are responsible for the high rate of infection in the African, Asian and Middle-Eastern subcontinents [3] [4]. The clinical presentation of Campylobacter jejuni infection starts approximately 2-3 days after ingestion of bacteria and comprises of non-specific signs such as the acute onset of watery (or sometimes bloody) diarrhea, abdominal cramps, and high-grade fever (>40°C) [1] [3]. Up to 10 or more stools can be expected in typical cases, and the duration of symptoms is usually one week [1] [3], but a prolonged course of the disease with several-week-long complaints is reported in a subset of patients [1]. An array of complications has been described due to Campylobacter jejuni infection, including local spread (cholecystitis, peritonitis, pancreatitis), dissemination of infection into other tissues (meningitis, relapsing septic arthritis, osteomyelitis), or even sepsis [1] [3] [4]. The development of Guillain-Barré syndrome, however, an autoimmune disease of the peripheral nervous system in which weakness and acute flaccid paralysis are seen after C. jejuni infection, is perhaps the most common adverse event [1] [2] [7].
Entire Body System
- Fatigue
One of the most common symptoms associated with Candida is fatigue. While there’s no evidence that Candida causes fatigue, there are a couple of ways in which it could contribute to it. [healthline.com]
Chronic Fatigue If you have fatigue or exhaustion that you simply cannot shake, regardless of the number of hours you sleep, you may have chronic fatigue syndrome. [draxe.com]
Digestive issues, mood swings, brain fog, headaches, skin problems, immunity issues, fatigue, exhaustion, weight gain: these symptoms are all linked to a common cause – Candida. [bodygenius.com.au]
Some complementary and alternative medicine (CAM) practitioners blame common symptoms such as fatigue, headache and poor memory on overgrowth of the fungus-like organism Candida albicans in the intestines, sometimes called "yeast syndrome." [mayoclinic.org]
I’ve seen thousands of patients suffer from digestive issues, fatigue, brain fog, recurring fungal infections, skin problems, mood swings, and more, all caused by Candida overgrowth. [amymyersmd.com]
- Malaise
Abstract Campylobacter jejuni infection frequently presents as acute enteritis with diarrhoea, malaise, fever and abdominal pain. Vomiting and bloody diarrhoea are reported less frequently. [ncbi.nlm.nih.gov]
At first, you may have a 12- to 48-hour period of fever, headache, muscle aches, and malaise (a general feeling of sickness). These early symptoms are followed by crampy abdominal pain and diarrhea, sometimes with nausea and vomiting. [drugs.com]
18/11/2005 Accepted: 30/01/2006 Cover date: 01/06/2006 Abstract Fulltext Figs (0) References (36) Cited By (17) Supplementary Material (0) Metrics Related Content Campylobacter jejuni infection frequently presents as acute enteritis with diarrhoea, malaise [jmm.microbiologyresearch.org]
After an incubation period (usually of 2–4 days), the patient develops diarrhea, fever, malaise, and often abdominal cramps and pain. [dx.doi.org]
- Splenectomy
He had HbE/beta zero thalassaemia and had undergone splenectomy nine months previously for hypersplenism; he also had chronic hepatitis C infection. [ncbi.nlm.nih.gov]
Gastrointestinal
- Nausea
You have diarrhea and are unable to drink fluids due to nausea or vomiting. You have a fever above 101°F (38.3°C), and diarrhea. [nlm.nih.gov]
Jejuni infection in humans include acute, watery or bloody diarrhoea, stomach pain, fever, nausea and headaches. After a few weeks, the infection can even lead to serious auto-immune diseases, such as Guillain-Barré syndrome. [uu.nl]
Symptoms usually appear within 2 to 5 days after eating the contaminated food and include fever, stomach cramps, muscle pain, diarrhea, nausea and vomiting. Infection from C. jejuni may be treated with certain antibiotics. [babymed.com]
The trickle soon grew to dozens, then hundreds, and ultimately thousands of residents suffering from debilitating cramps, headaches and nausea. [waterandhealth.org]
- Abdominal Pain
Abstract Campylobacter jejuni infection frequently presents as acute enteritis with diarrhoea, malaise, fever and abdominal pain. Vomiting and bloody diarrhoea are reported less frequently. [ncbi.nlm.nih.gov]
Diarrhea accompanied by cramping, abdominal pain, and fever are the main symptoms. A number of complications may be seen with Campylobacter jejuni infection, one of them being Guillain-Barré syndrome. [symptoma.com]
You have severe abdominal pain. [nlm.nih.gov]
Case report: We describe the case of a healthy two-year-old child with intermittent episodes of fever, abdominal pain, vomiting and soft stool since two months ago, with no relevant changes on physical examination. [revistas.rcaap.pt]
- Acute Diarrhea
In Sweden, Campylobacter species is the most common pathogen reported in patients with acute diarrhea [ 1 ]. After an incubation period (usually of 2–4 days), the patient develops diarrhea, fever, malaise, and often abdominal cramps and pain. [dx.doi.org]
A number of studies have shown that probiotics like L. acidophilus may help prevent and reduce diarrhea that's associated with various diseases (13). Evidence on the ability of L. acidophilus to treat acute diarrhea in children is mixed. [healthline.com]
Neurologic
- Guillain-Barré Syndrome
Abstract Guillain-Barré syndrome has been considered to be primarily an acute inflammatory demyelinating polyneuropathy (AIDP). Our experience with Guillain-Barré syndrome in northern China differs from the traditional concept. [ncbi.nlm.nih.gov]
- Headache
The outbreak was recognized when blood cultures obtained from 11 previously healthy persons with acute febrile illnesses (characterized in over 80% by fever, diarrhea, and headaches) were positive for C. jejuni. [ncbi.nlm.nih.gov]
[…] dizziness, nausea, headaches, dry mouth, tiredness, and oliguria (infrequent urination) a constant feeling that you need to pass stool vomiting, which is rare Diarrhea can make you dehydrated. [healthline.com]
Jejuni infection in humans include acute, watery or bloody diarrhoea, stomach pain, fever, nausea and headaches. After a few weeks, the infection can even lead to serious auto-immune diseases, such as Guillain-Barré syndrome. [uu.nl]
Some complementary and alternative medicine (CAM) practitioners blame common symptoms such as fatigue, headache and poor memory on overgrowth of the fungus-like organism Candida albicans in the intestines, sometimes called "yeast syndrome." [mayoclinic.org]
The trickle soon grew to dozens, then hundreds, and ultimately thousands of residents suffering from debilitating cramps, headaches and nausea. [waterandhealth.org]
- Cranial Nerve Involvement
We report here a case of CIDP presenting as mononeuritis multiplex with accompanying cranial nerve involvement in an insulin-dependent diabetic who presented a preceding Campylobacter jejuni infection and misleading skin lesions. [ncbi.nlm.nih.gov]
Acute polyneuritis with cranial nerve involvement following Campylobacter jejuni infection. J Neurol Neurosurg Psychiatry 1985 ;48: 593 - 593 5. Enders U, Karch H, Toyka KV, et al. [nejm.org]
- Neurologic Manifestation
Treatment with i.v. immunoglobulin (400 mg/kg/day x 5 days) led to rapid partial resolution of his neurologic manifestations, but complete recovery was not obtained until 6 months later. [ncbi.nlm.nih.gov]
- Mononeuropathy
This case suggests that CIDP should be considered as a potential diagnosis in all diabetics with localized, acute or sub-acute onset, and multiple, or overlapping mononeuropathies. [ncbi.nlm.nih.gov]
Workup
Because acute gastroenteritis has a wide bacterial etiology with similar signs and symptoms, the physician's role in conducting a proper clinical workup is of importance. During history taking, patients should be asked about recent travel, consumption of "suspicious" animal products (particularly poultry, other meat products, and milk), while the course and progression of symptoms must be assessed as well. After a thorough physical examination, a complete laboratory workup is necessary, but apart from an increased white blood cell count, basic biochemical parameters are usually within physiological limits [1]. For this reason, microbiological studies are the focus of the diagnostic investigation. In all patients who present with signs of gastroenteritis, stool cultures are a vital component of the workup, including for Campylobacter jejuni infection [1] [2] [3]. Stool cultures require specific conditions (higher temperature and use of cephalothin), but because infected patients excrete bacteria in stools only for a few weeks [7], the use of more advanced methods is recommended. Identification of specific antibodies through serological methods possesses higher success rates compared to cultures, but the introduction of molecular methods and polymerase chain reaction (PCR), which are able to detect bacterial DNA in patient samples, have greatly improved the overall rate of diagnosis for many pathogens, including Campylobacter jejuni [2] [3] [7] .
Colonoscopy
- Colitis
Ten patients had abnormal colonoscopic findings, including erythema (4), ulcers (4), colitis (1), and hemorrhage (1). [ncbi.nlm.nih.gov]
To Infectious colitis NOS Infectious enteritis NOS Infectious gastroenteritis NOS Type 1 Excludes colitis NOS ( K52.9 ) diarrhea NOS ( R19.7 ) enteritis NOS ( K52.9 ) gastroenteritis NOS ( K52.9 ) noninfective gastroenteritis and colitis, unspecified [icd10data.com]
エントリ H00321 名称 カンピロバクター感染症 カテゴリ 感染症 階層分類 感染症疾患 [BR: jp08401 ] 細菌感染症 イプシロンプロテオバクテリアによる感染症 H00321 カンピロバクター感染症 ICD-11 による疾患分類 [BR: jp08403 ] 01 Certain infectious or parasitic diseases Gastroenteritis or colitis of infectious origin Bacterial intestinal [genome.jp]
It's considered normal to find candida in the human gut (gastrointestinal tract), but an overgrowth of candida can exacerbate existing gastrointestinal diseases such as ulcerative colitis and Crohn's disease. [mayoclinic.org]
[…] or diarrhea begins) Reduced urine output, sunken eyes, sticky or dry mouth, or no tears when crying Food poisoning - campylobacter enteritis; Infectious diarrhea - campylobacter enteritis; Bacterial diarrhea; Campy; Gastroenteritis - campylobacter; Colitis [nlm.nih.gov]
HLA Type
- HLA-B27
In the ReA patients, the clinical picture was mild, the primary outcome good, and the association with HLA-B27 not high. [ncbi.nlm.nih.gov]
Treatment
On the basis of these results, combined treatment with ciprofloxacin and maternal plasma was initiated, and the C. jejuni infection was rapidly cured. [ncbi.nlm.nih.gov]
As can be seen in figure 2, the effects of treatment show some variability, which indicates heterogeneity between studies. One such factor that differed between studies was the time interval from first symptoms to treatment. [dx.doi.org]
Prognosis
The presence of Cj infection is more important than anti-GM1 positivity in determining the extent of axonal involvement and, hence, prognosis. [ncbi.nlm.nih.gov]
Prognosis Most otherwise healthy adults recover from Campylobacter infection within several days. Occasionally diarrhea may persist for up to 10 days. Complications other than dehydration are very uncommon. [drugs.com]
In addition, all patients were followed for one year to determine the effect of C. jejuni infection on prognosis. [nejm.org]
CMV reactivation in critically ill patients is known to worsen prognosis and increase mortality [ 26 - 28 ]. [omicsonline.org]
Etiology
Because acute gastroenteritis has a wide bacterial etiology with similar signs and symptoms, the physician's role in conducting a proper clinical workup is of importance. [symptoma.com]
Smith T : The etiological relation of spirilla ( Vibrio fetus ) to bovine abortion. Journal of Experimental Medicine 1919, 30: 313–323. Google Scholar 3. [link.springer.com]
The NIH appears to accept the role of Campylobacter in GBS etiology and has moved to outlining steps for improving mechanistic knowledge (11); the published literature also reflects this general acceptance. [scienceblogs.com]
Key words Campylobacter, Argentina, prevalence, resistance, fluorquinolones, diarrhea, etiology Clasificación en siicsalud Artículos originales > Expertos de Iberoamérica > página www.siicsalud.com/des/expertocompleto.php/ Especialidades Principal: Infectología [siicsalud.com]
University of Oklahoma Study Abroad Microbiology in Arezzo, Italy [1] Etiology/Bacteriology Taxonomy | Domain = Bacteria | Phylum = Proteobacteria | Class = Epsilon Proteobacteria | Order = Campylobacterales | Family = Campylobacteraceae | Genus = Campylobacter [microbewiki.kenyon.edu]
Epidemiology
Epidemiological Report for 2017 Surveillance report - 11 Jun 2019 Publication Q fever - Annual Epidemiological Report for 2017 Surveillance report - 11 Jun 2019 Publication Yellow fever - Annual Epidemiological Report for 2017 Surveillance report - 11 [ecdc.europa.eu]
Sporadic accounts of case histories similar to the present have appeared in the literature, but the incidence and epidemiology of this infection in obstetric patients is still unclear. [ncbi.nlm.nih.gov]
Abstract: Knowledge of the epidemiology of the infections of the Campylobacter organism causes has been steadily accumulating. [asmscience.org]
Pathophysiology
Guillain Barré syndrome: Epidemiology, Pathophysiology and Management: Drugs 2004;64:597-610. 6. Nachamkin I, Allos BM, Ho T. Campylobacter species and Guillain-Barré syndrome. Clin Microbiol Rev 1998;11:555-67. 7. Asbury AK, Cornblath DR. [neurologyindia.com]
Pathophysiology Candida species are yeastlike fungi that can form true hyphae and pseudohyphae. [emedicine.medscape.com]
Prevention
Author information 1 Department of Preventive Environment and Nutrition, Institute of Health Biosciences, The University of Tokushima Graduate School, Kuramoto-cho 3-18-15, Tokushima City, Tokushima 770-8503, Japan. [ncbi.nlm.nih.gov]
Routine treatment of drinking water and pasteurization of milk are core prevention strategies. [asmscience.org]
References
- Allos BM. Campylobacter jejuni Infections: update on emerging issues and trends. Clin Infect Dis. 2001;32(8):1201-1206.
- Nyati KK, Nyati R. Role of Campylobacter jejuni Infection in the Pathogenesis of Guillain-Barré Syndrome: An Update. Biomed Res Int. 2013;2013:852195.
- Kaakoush NO, Castaño-Rodríguez N, Mitchell HM, Man SM. Global Epidemiology of Campylobacter Infection. Clin Microbiol Rev. 2015;28(3):687-720.
- Coker AO, Isokpehi RD, Thomas BN, Amisu KO, Obi CL. Human Campylobacteriosis in Developing Countries1. Emerg Infect Dis. 2002;8(3):237-243.
- Friedman CR, Hoekstra RM, Samuel M, et al. Risk factors for sporadic Campylobacter infection in the United States: A case-control study in FoodNet sites. Clin Infect Dis. 2004;38(3):S285-296.
- Sarkar SR, Hossain MA, Paul SK, et al. Campylobacteriosis - an overview. Mymensingh Med J. 2014;23(1):173-180.
- Nachamkin I, Allos BM, Ho T. Campylobacter Species and Guillain-Barré Syndrome. Clin Microbiol Rev. 1998;11(3):555-567.