Clinico-bacteriological study of diarrhea caused by Campylobacer fetus subsp.fetus.

概要

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From April 1980 till December 1984, 2213 patients with complaint of diarrhea were bacteriologically studied in our hospital. Examination of feces proved enteropathogenic bacteria in 612 patients. Campylobacter fetus was merely found in 12 cases (0.5%) among them, while Campylobacter jejuni and coli were detected in 418 (18.9%) and 3 (0.1%) patients, respectively. Ten of twelve patients with Campylobacter fetus showed no clinical sign other than enteritis, however the other two had serious symptoms of systemic infection. One of these two patients had bacteremia accompanied with chill and high fever besides diarrhea: Campylobacter fetus was proved by the culture of both blood and feces. The other patient was a typical case of mother-to-baby transmission: namely, her baby had been infected with the same pathogene from her through the placenta before birth and had revealed severe meningitis and enterogastritis already at birth. Campylobacter fetus was detected from soft bloody feces of the baby as well as from the feces of the mother before and after her delivery. The authors keenly feel the necessity of examination of feces of diarrheal patients not only for Campylobacter jejuni but also for Campylobacter fetus.
The Japanese Association for Infectious Diseasesの論文