Abstract
Abstract
Background
While Campylobacter jejuni represents the most common cause of bacterial gastroenteritis, Yersinia pseudotuberculosis infections are very rarely diagnosed in adults.
Case
We report on a previously healthy patient who presented several times at our hospital with fever, Guillain-Barré syndrome, recurrent abdominal symptoms and distinct mesenteric lymphadenopathy, respectively. This complicated and diagnostically challenging course of disease was caused by a C. jejuni and Y. pseudotuberculosis coinfection. Antibiotic treatment with doxycycline was effective.
Conclusion
Broad serology testing was crucial to discover that two concomitant infections were causing the symptoms. This case demonstrates that when a clinical picture is not fully explained by one known infection, another infection with the same underlying risk factor has to be considered, hence “a horse and a zebra”.
Publisher
Springer Science and Business Media LLC
Subject
Infectious Diseases,Microbiology (medical),General Medicine
Reference20 articles.
1. Horrocks SM, Anderson RC, Nisbet DJ, Ricke SC. Incidence and ecology of Campylobacter jejuni and coli in animals. Anaerobe. 2009;15:18–25.
2. Kaakoush NO, Castaño-Rodríguez N, Mitchell HM, Man SM. Global epidemiology of campylobacter infection. Clin Microbiol Rev. 2015;28:687–720.
3. Nulens E, Decoster E-L, Schoonooghe M-C, Muyldermans A. An unexpected Campylobacter fetus infection. Infection. 2018;46:729–30.
4. Guzman-Herrador B, Vold L, Nygård K. Surveillance of travel-associated gastrointestinal infections in Norway, 2009–2010: are they all actually imported? Eurosurveillance. 2012;17:20294.
5. Blaser MJ. Epidemiologic and clinical features of Campylobacter jejuni Infections. J Infect Dis. 1997;176:103–5.
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