Case Report: Campylobacter Bacteremia in India

Srived Meda Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;
Center for Antimicrobial Resistance and Education, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;

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Padmaja Shenoy Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;

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Gauri Kumar Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;

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Muralidhar Varma Center for Antimicrobial Resistance and Education, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;
Department of Infectious Diseases, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;

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Chiranjay Mukhopadhyay Center for Antimicrobial Resistance and Education, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;
Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;
Center for Emerging and Tropical Diseases, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India

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Vandana Kalwaje Eshwara Center for Antimicrobial Resistance and Education, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;
Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;

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Gastroenteritis is the frequent clinical manifestation of infection by Campylobacter spp., whereas invasive infections such as bacteremia are less commonly reported. We report 12 cases of Campylobacter bacteremia from a tertiary-care hospital in India and describe their relatively unique characteristics compared with the previously published reports. These cases were detected after the introduction of new blood culture media. The most common symptoms were fever (eight cases, 67%), abdominal pain (six cases, 50%), and vomiting (four cases, 33%), whereas only two cases (17%) had diarrhea. Chronic liver disease was the common underlying condition affecting eight patients (75%). The median Child–Pugh and Model for End-Stage Liver Disease scores were 9 (interquartile range: 7–9.5) and 20 (interquartile range: 15–23) respectively. Campylobacter jejuni was isolated in six patients (50%), two of whom had preceding diarrhea and one patient who had culture evidence of C. jejuni in ascitic fluid. The in-hospital mortality was 8%, but this was due to subsequent Escherichia coli sepsis.

Author Notes

Current contact information: Srived Meda, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, and Center for Antimicrobial Resistance and Education, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, E-mail: srived.sri@gmail.com. Padmaja Shenoy and Gauri Kumar, Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, E-mails: padmaja.shenoy@manipal.edu and gauri.kumarr@gmail.com. Muralidhar Varma, Department of Infectious Diseases, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, and Center for Antimicrobial Resistance and Education, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, E-mail: muralidhar.varma@manipal.edu. Chiranjay Mukhopadhyay, Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, Center for Antimicrobial Resistance and Education, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, and Center for Emerging and Tropical Diseases, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, E-mail: chiranjay.m@manipal.edu. Vandana Kalwaje Eshwara, Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, and Center for Antimicrobial Resistance and Education, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India, E-mail: vandana.ke@manipal.edu.

Address correspondence to Vandana Kalwaje Eshwara, Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India. E-mail: vandana.ke@manipal.edu
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