Volume : 6, Issue : 5, May - 2017

Campylobacter coli Bacteremia In A Young Girl of Chronic Budd-Chiari Syndrome: First Case Report From India

Nayani Amrin Fatema Afzal Hussain, Awadhesh Kumar, Soumyabrata Nag, Chinmoy Sahu, Malay Ghar, K N Prasad

Abstract :

<p>&nbsp;</p> <table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="border-collapse:collapse;border:none;mso-border-alt:solid windowtext .5pt;&#10; mso-yfti-tbllook:480;mso-padding-alt:0in 5.4pt 0in 5.4pt;mso-border-insideh:&#10; .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext"> <tbody> <tr> <td width="616" valign="top" style="width:462.1pt;border:solid windowtext 1.0pt;&#10; mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt"> <p class="MsoNormal" style="text-align:justify"><b><span lang="EN-GB" style="font-family:&quot;Times New Roman&quot;,serif">Introduction: </span></b><i><span lang="EN-GB" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif">Campylobacter coli</span></i><span lang="EN-GB" style="font-size:12.0pt;line-height:115%;&#10; font-family:&quot;Times New Roman&quot;,serif"> are curved, Gram negative, microaerophilic, fastidious bacilli. They are the &nbsp;leading cause of gastroenteritis worldwide. These are &nbsp;zoonotic infections acquired by direct contact with animals or consumption of contaminated food products. The symptoms include diarrhoeal illness and fever. There are very few reports of extra-intestinal infections by <i>Campylobacter coli.</i> However, recent advancements in diagnostic technologies and automation have eased the identification of these pathogens. There are increasing reports of resistance to fluroquinolones, macrolides and third generation cephalosporins. Here, we present the case of bacteremia due to <i>Campylobacter coli</i> which is the first such case report from India.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:6.0pt"><b><span lang="EN-GB" style="font-family:&quot;Times New Roman&quot;,serif;&#10; mso-fareast-font-family:Calii">&nbsp;</span></b></p> <p class="MsoNormal" style="text-align:justify"><b><span lang="EN-GB" style="font-family:&quot;Times New Roman&quot;,serif">Case Presentation: </span></b><span lang="EN-GB" style="font-size:12.0pt;line-height:&#10; 115%;font-family:&quot;Times New Roman&quot;,serif">A 10 yrs. old female patient was admitted to pediatric gastroenterology ward with complaints of chronic diarrhoea for 5 years and abdominal distention for 2.5 months. The patient had dilated abdominal veins and gastric varices. The patient had fever 3 days prior to admission. <i>Campylobacter coli</i> was isolated from BACTEC blood culture bottle. The patient had associated diarrhea and anemia. The isolate was susceptible to macrolides and third generation cephalosporins but resistant to fluroquinolones. The patient responded well to azithromycin therapy. <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:6.0pt"><b><span lang="EN-GB" style="font-family:&quot;Times New Roman&quot;,serif">&nbsp;</span></b></p> <p class="MsoNormal" style="text-align:justify"><b><span lang="EN-GB" style="font-family:&quot;Times New Roman&quot;,serif">Conclusion:</span></b><span lang="EN-GB" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif"> <i>Campylobacter coli</i> is a rare cause of bacteremia. The disease burden caused by <i>Campylobacter coli</i> is undefined in Indian subcontinent. This is the first report of <i>C. coli</i> bacteremia from India</span><span lang="EN-GB" style="font-family:&quot;Times New Roman&quot;,serif">. <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:6.0pt"><b><span lang="EN-GB" style="font-family:&quot;Times New Roman&quot;,serif;&#10; mso-fareast-font-family:Calii;color:green">&nbsp;</span></b></p> </td> </tr> </tbody> </table>