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Volume 41, Number 5, October 2008

Campylobacter enteritis in children in northern Taiwan — a 7-year experience


Shu-Chien Wang, Luan-Yin Chang, Po-Ren Hsueh, Chun-Yi Lu, Ping-Ing Lee, Pei-Lan Shao, Yu-Chia Hsieh, Feng-Pin Yen, Chin-Yun Lee, Li-Min Huang
Departments of Pediatrics and Laboratory Medicine, National Taiwan University Hospital, Taipei; and Department of Pediatrics, China Medical University Hospital, Taichung, Taiwan

Received: May 12, 2007    Revised: June 12, 2007    Accepted: August 2, 2007   

 

Corresponding author:

Li-Min Huang, MD, PhD, Department of Pediatrics, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei, Taiwan. E-mail: Li-Min Huang This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
 



 

Background and purpose: 

Campylobacter infection is recognized as a major cause of acute enteritis in humans. The clinical characteristics may vary in different countries. This study investigated the clinical manifestations of pediatric Campylobacter enteritis in a medical center in northern Taiwan.
 



 

Methods:

This was a retrospective review of Campylobacter enteritis infections at National Taiwan University Hospital, Taipei, Taiwan, from January 2000 to December 2006. All children who tested positive for Campylobacter, isolated from stool samples, were included in the study. Data collected and evaluated included the species of Campylobacter, age, gender, underlying disease, travel history, clinical manifestations and laboratory data.

 



 

Results:

A total of 104 patients had enteric campylobacteriosis. Campylobacter coli was grown from 24 patients (23.1%), while Campylobacter jejuni was found in 80 patients (76.9%). More than half of the infections (60.6%) occurred in children less than 5 years old. The male-to-female ratio was 2.46:1. Fifteen patients had underlying diseases (14.4%), such as hematologic malignancy, solid organ transplantation and liver cirrhosis. Watery diarrhea (93.2%), abdominal pain (92.0%), fever (81.2%), and vomiting (46.1%) were the most common clinical manifestations. Three episodes of campylobacteriosis appeared to be imported from Southeast Asia and 3 were acquired nosocomially. One patient, who did not have any underlying disease, developed Campylobacter bacteremia. No Guillain-Barré syndrome was noted in our patients and none of our patients died due to campylobacteriosis. While both diseases had similar clinical manifestations, infections caused by C. coli seemed to be more severe than those caused by C. jejuni, as evidenced by a higher incidence of decreased activity and pus cells in the stool in patients infected with C. coli.
 



 

Conclusion:

Even in patients with bacteremia or underlying disease, enteric campylobacteriosis usually runs a benign course regardless of treatment with antimicrobial agents in children in northern Taiwan.

 



 

Key words:

Campylobacter; Child; Enteritis; Retrospective studies; Signs and symptoms

 



 

J Microbiol Immunol Infect. 2008;41:408-413.