Campylobacter enteritis: a "new" disease

Campylobacter enteritis: a "new" disease

2 JULY 1977 | M B SKIRROW
Campylobacter enteritis is a significant cause of acute enteritis, often overlooked. The study identified Campylobacter (C. jejuni and C. coli) in 7.1% of 803 patients with diarrhoea, but not in 194 without diarrhoea. Symptoms included severe abdominal pain, with a high incidence in young children. Infection spread within 12 out of 29 households, often involving children. Poultry, particularly chickens, was a likely source, with some patients infected through contact with live or dressed chickens. Dogs with diarrhoea were also found to be infected with strains similar to those in humans. Ten patients acquired infections while travelling abroad. The study used selective culture techniques to isolate Campylobacter from faeces, revealing a high prevalence in diarrhoeal cases. Seroological tests showed specific antibodies in 31 out of 38 patients, with some showing rising titres. Clinical manifestations included fever, malaise, and severe diarrhoea, often with bloody stools. The illness lasted several days to weeks, with recovery varying by age. In some cases, the disease led to severe complications, including suspected bowel perforation. Epidemiologically, 113 contacts of patients were tested, with 14 new cases and five asymptomatic excreters identified. Infection spread mainly among children, with poultry and possibly dogs as sources. The study concluded that Campylobacter is a common cause of infectious diarrhoea, with effective treatment possible using antibiotics. The development of selective culture media has made detection easier, and further research is needed to understand the full extent of the disease.Campylobacter enteritis is a significant cause of acute enteritis, often overlooked. The study identified Campylobacter (C. jejuni and C. coli) in 7.1% of 803 patients with diarrhoea, but not in 194 without diarrhoea. Symptoms included severe abdominal pain, with a high incidence in young children. Infection spread within 12 out of 29 households, often involving children. Poultry, particularly chickens, was a likely source, with some patients infected through contact with live or dressed chickens. Dogs with diarrhoea were also found to be infected with strains similar to those in humans. Ten patients acquired infections while travelling abroad. The study used selective culture techniques to isolate Campylobacter from faeces, revealing a high prevalence in diarrhoeal cases. Seroological tests showed specific antibodies in 31 out of 38 patients, with some showing rising titres. Clinical manifestations included fever, malaise, and severe diarrhoea, often with bloody stools. The illness lasted several days to weeks, with recovery varying by age. In some cases, the disease led to severe complications, including suspected bowel perforation. Epidemiologically, 113 contacts of patients were tested, with 14 new cases and five asymptomatic excreters identified. Infection spread mainly among children, with poultry and possibly dogs as sources. The study concluded that Campylobacter is a common cause of infectious diarrhoea, with effective treatment possible using antibiotics. The development of selective culture media has made detection easier, and further research is needed to understand the full extent of the disease.
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[slides and audio] Campylobacter enteritis%3A a %22new%22 disease.