campylobacteriosis

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Related to Campylobacter infection: campylobacter enteritis, Campylobacter gastroenteritis

Campylobacteriosis

 

Definition

Campylobacteriosis refers to infection by the group of bacteria known as Campylobacter. The term comes from the Greek word meaning "curved rod" referring to the bacteria's curved shape. The most common disease caused by these organisms is diarrhea, which most often affects children and younger adults. Campylobacter infections account for a substantial percent of food-borne illness encountered each year.

Description

There are over 15 different subtypes, all of which are curved Gram-negative rods. C. jeuni is the subtype that most often causes gastrointestinal disease. However, some species such as C. fetus produce disease outside the intestine, particularly in those with altered immune systems, such as people with AIDS, cancer, and liver disease.
Campylobacter are often found in the intestine of animals raised for food produce and pets. Infected animals often have no symptoms. Chickens are the most common source of human infection. It is estimated that 1% of the general population is infected each year.

Causes and symptoms

Improper or incomplete food preparation is the most common way the disease is spread, with poultry accounting for over half the cases. Untreated water and raw milk are also potential sources.
The incubation period after exposure is from one to 10 days. A day or two of mild fever, muscle aches, and headache occur before intestinal symptoms begin. Diarrhea with or without blood and severe abdominal cramps are the major intestinal symptoms. The severity of symptoms is variable, ranging from only mild fever to dehydration and rarely death (mainly in the very young or old). The disease usually lasts about one week, but persists longer in about 20% of cases. At least 10% will have a relapse, and some patients will continue to pass the bacteria for several weeks.

Complications

Dehydration is the most common complication. Especially at the extremes of age, this should be watched for and treated with either Oral Rehydration Solution or intravenous fluid replacement.
Infection may also involve areas outside the intestine. This is unusual, except for infections with C. fetus. C. fetus infections tend to occur in those who have diseases of decreased immunity such as AIDS, cancer, etc. This subtype is particularly adapted to protect itself from the body's defenses.
Areas outside the intestine that may be involved are:
  • Nervous system involvement either by direct infection of the meninges (outer covering of the spinal and brain) or more commonly by producing the Guillain-Barré syndrome (progressive and reversible paralysis or weakness of many muscles). In fact, Campylobacter may be responsible for 40% of the reported cases of this syndrome.
  • Joint inflammation can occur weeks later (leading to an unusual form of arthritis).
  • Infection of vessels and heart valves is a special characteristic of C. fetus. Immunocompromised patients may develop repeated episodes of passage of bacteria into the bloodstream from these sites of infection.
  • The gallbladder, pancreas, and bone may be affected.

Diagnosis

Campylobacter is only one of many causes of acute diarrhea. Culture (growing the bacteria in the laboratory) of freshly obtained diarrhea fluid is the only way to be certain of the diagnosis.

Treatment

The first aim of treatment is to keep up nutrition and avoid dehydration. Medications used to treat diarrhea by decreasing intestinal motility, such as Loperamide or Diphenoxylate are also useful, but should only be used with the advice of a physician. Antibiotics are of value, if started within three days of onset of symptoms. They are indicated for those with severe or persistent symptoms. Either an erythromycin type drug or one of the fluoroquinolones (such as ciprofloxacin) for five to seven days are the accepted therapies.

Prognosis

Most patients with Campylobacter infection rapidly recover without treatment. For certain groups of patients, infection becomes chronic and requires repeated courses of antibiotics.

Prevention

Good hand washing technique as well as proper preparation and cooking of food is the best way to prevent infection.

Resources

Organizations

Centers for Disease Control and Prevention. 1600 Clifton Rd., NE, Atlanta, GA 30333. (800) 311-3435, (404) 639-3311. http://www.cdc.gov.

Other

Centers for Disease Control. 〈http://www.cdc.gov/nccdphp/ddt/ddthome.htm〉.

Key terms

Antibiotic — A medication that is designed to kill or weaken bacteria.
Anti-motility medications — Medications such as loperamide (Imodium), dephenoxylate (Lomotil), or medications containing codeine or narcotics which decrease the ability of the intestine to contract. This can worsen the condition of a patient with dysentery or colitis.
Fluoroquinolones — A relatively new group of antibiotics that have had good success in treating infections with many Gram-negative bacteria. One drawback is that they should not be used in children under 17 years of age, because of possible effect on bone growth.
Food-borne illness — A disease that is transmitted by eating or handling contaminated food.
Gram-negative — Refers to the property of many bacteria that causes them to not take up color with Gram's stain, a method which is used to identify bacteria. Gram-positive bacteria which take up the stain turn purple, while Gram-negative bacteria which do not take up the stain turn red.
Guillain-Barré syndrome — Progressive and usually reversible paralysis or weakness of multiple muscles usually starting in the lower extremities and often ascending to the muscles involved in respiration. The syndrome is due to inflammation and loss of the myelin covering of the nerve fibers, often associated with an acute infection.
Meninges — Outer covering of the spinal cord and brain. Infection is called meningitis, which can lead to damage to the brain or spinal cord and even death.
Oral Rehydration Solution (ORS) — A liquid preparation developed by the World Health Organization that can decrease fluid loss in persons with diarrhea. Originally developed to be prepared with materials available in the home, commercial preparations have recently come into use.
Stool — Passage of fecal material; a bowel movement.

campylobacteriosis

 [kam″pĭ-lo-bak-tēr″e-o´sis]
infection with organisms of the genus Campylobacter.

cam·py·lo·bac·ter·i·o·sis

(kam'pi-lō-bak'ter-ē-ō'sis),
Infection caused by microaerophilic bacteria of the genus Campylobacter.

campylobacteriosis

(kăm′pə-lō-băk-tîr′rē-ō′sĭs)
n.
A gastrointestinal condition characterized by diarrhea, abdominal cramps, and fever, caused by eating unpasteurized dairy products or undercooked meat contaminated with Campylobacter jejuni, a bacterium that infects poultry, cattle, and sheep.

campylobacteriosis

[kam′pəlōbaktēr′ē·ō′sis]
infection with organisms of the genus Campylobacter.

cam·py·lo·bac·ter·i·o·sis

(kam'pi-lō-bak-tēr'ē-ō'sis)
Infection caused by microaerophilic bacteria of the genus Campylobacter.

campylobacteriosis

disease caused by infection with Campylobacter spp. Includes bovine vibriosis, vibrionic abortion of sheep, enteritis of dogs.

avian campylobacteriosis
Caused by Campylobacter coli, C. jejuni, C. laridis. Characterized by depression, diarrhea.
bovine genital campylobacteriosis
see bovine vibriosis.
References in periodicals archive ?
Riding in shopping carts and exposure to raw meat and poultry products: prevalence of, and factors associated with, this risk factor for Salmonella and Campylobacter infection in children younger than 3 years.
Whether or not current regulations are as toothless as suggested by the EWG, increased compliance with standards outlined by regulatory bodies and a better understanding of how antibiotic resistance increased instances of foodbome illness will be vital in reversing the upward trend of campylobacter infections.
According to the Health Protection Agency (HPA), there have been 18 outbreaks of Campylobacter infection in England so far this year.
Reducing the levels of Campylobacter in the food chain, and ultimately the incidence of Campylobacter infection in humans, is an aim of U.
Data Source: A survey of 189 individuals with a history of Salmonella or Campylobacter infection.
A study in February found that more than 20,000 people in Ireland suffered food poisoning as a result of campylobacter infection in the past eight years.
Previous studies had indicated livestock were not the principal source of human campylobacter infection.
Campylobacter Infection (campylobacteriosis): A bacterial disease associated with cats, dogs, and farm animals.
McLean, VA) has patented a method using probiotic microorganism in the manufacture of a composition for the prevention or reduction of gastrointestinal Campylobacter infection in a mammalian animal.
Primarily associated with undercooked meat and poultry, Campylobacter infection is characterised by severe diarrhoea and abdominal pain.
Campylobacter infection is also associated with a number of rare neuropathologic sequelae, including GuillainBarre syndrome (Hughes et al.
Treatment of a Campylobacter infection does not prevent its progression to GBS.

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