Ryo Nakatani1, Koki Shimizu2, Takahiro Matsuo3, Ryosuke Koyamada2, Nobuyoshi Mori3, Takuya Yamashita2, Shinichiro Mori2. 1. Department of Internal Medicine, St. Luke's International Hospital, 9-1, Akashi-cho, Chuo-ku, Tokyo, Japan. nakaryo@luke.ac.jp. 2. Department of Hematology, St. Luke's International Hospital, Tokyo, Japan. 3. Department of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan.
Abstract
BACKGROUND: Campylobacter fetus is an uncommon Campylobacter species, and its infections mainly cause infective endocarditis, aortic aneurysm, and meningitis rather than enteritis. It is more likely to be detected in blood than Campylobacter jejuni or Campylobacter coli, specifically reported in 53% of patients. In our case, C. fetus was detected in both blood and cerebrospinal fluid (CSF) cultures. CASE PRESENTATION: A 33-year-old woman, who was on maintenance chemotherapy for acute lymphoblastic leukemia (ALL), presented to our clinic with chief complaints of severe headache and nausea. Blood and CSF cultures revealed C. fetus. We administrated meropenem 2 g intravenously (IV) every 8 h for 3 weeks, and she was discharged without neurological sequelae. CONCLUSION: We encountered a case of C. fetus meningitis without gastrointestinal symptoms, neck stiffness or jolt accentuation in a patient with ALL. Undercooked beef was considered the source of C. fetus infection in this case, suggesting that the need for a neutropenic diet and safe food handling be considered.
BACKGROUND:Campylobacter fetus is an uncommon Campylobacter species, and its infections mainly cause infective endocarditis, aortic aneurysm, and meningitis rather than enteritis. It is more likely to be detected in blood than Campylobacter jejuni or Campylobacter coli, specifically reported in 53% of patients. In our case, C. fetus was detected in both blood and cerebrospinal fluid (CSF) cultures. CASE PRESENTATION: A 33-year-old woman, who was on maintenance chemotherapy for acute lymphoblastic leukemia (ALL), presented to our clinic with chief complaints of severe headache and nausea. Blood and CSF cultures revealed C. fetus. We administrated meropenem 2 g intravenously (IV) every 8 h for 3 weeks, and she was discharged without neurological sequelae. CONCLUSION: We encountered a case of C. fetusmeningitis without gastrointestinal symptoms, neck stiffness or jolt accentuation in a patient with ALL. Undercooked beef was considered the source of C. fetusinfection in this case, suggesting that the need for a neutropenic diet and safe food handling be considered.
Authors: L Gazaigne; P Legrand; B Renaud; B Bourra; E Taillandier; C Brun-Buisson; P Lesprit Journal: Eur J Clin Microbiol Infect Dis Date: 2007-11-13 Impact factor: 3.267
Authors: Souleymane Brah; Laurent Chiche; Marion Brun; Nicolas Schleinitz; Jean-Robert Harle; Jean-Marc Durand Journal: Case Rep Gastrointest Med Date: 2011-07-09