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Al Dallal W, Jouni H, Ahmed MW, Mohamedahmed AY, Kakaniaris G. A Rare Case of Caecum Perforation Secondary to Campylobacter jejuni Infection. Cureus 2024; 16:e65565. [PMID: 39192904 PMCID: PMC11348448 DOI: 10.7759/cureus.65565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2024] [Indexed: 08/29/2024] Open
Abstract
Campylobacter is a common cause of bacterial gastroenteritis worldwide. This report presents a rare case of a 44-year-old female who developed a caecum perforation following an initial diagnosis of Campylobacter jejuni infection. The patient initially presented with several episodes of diarrhoea, vomiting, and abdominal pain. Initial investigations confirmed an uncomplicated C. jejuni infection, which was treated with antibiotics and supportive measures. Despite treatment, the patient's symptoms persisted and worsened, and caecum perforation was confirmed on the abdomen and pelvis computed tomography. The patient underwent an emergency right hemicolectomy with an end ileostomy and was discharged home on postoperative day 14 after she made a full recovery. Healthcare professionals should be vigilant for possible severe complications in patients with C. jejuni infection. Frequent abdominal examinations with radiological investigations should be considered when symptoms are worsening to promptly identify any potentially life-threatening complications similar to those in the presenting case.
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Affiliation(s)
- Wessam Al Dallal
- General Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton on Trent, GBR
| | - Hassan Jouni
- General Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton on Trent, GBR
| | - Mohamed Wael Ahmed
- General Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton on Trent, GBR
| | - Ali Yasen Mohamedahmed
- General Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton on Trent, GBR
| | - Georgios Kakaniaris
- General and Colorectal Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton on Trent, GBR
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Chu YY, Lin CY, Kuo TL, Mu SC, Lau BH, Chou YY. Pediatric sigmoid colonic perforation with Campylobacter enterocolitis: a case report and review of the literature. J Med Case Rep 2022; 16:487. [PMID: 36581904 PMCID: PMC9801598 DOI: 10.1186/s13256-022-03711-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Accepted: 12/06/2022] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Campylobacter-related infectious gastroenteritis is common and usually self-limited. Intestinal perforation is a rare complication of the infectious colitis caused by Campylobacter, and only handful of cases have been reported. This is the first published case report of pediatric Campylobacter intestinal perforation located in the sigmoid colon. CASE PRESENTATION A 15-year-old previously Taiwanese healthy boy presented with 5 days of fever up to 39.8 °C, with right lower quadrant abdominal pain and watery diarrhea. Although he received antimotility agents and antipyretics at a local clinic to relieve symptoms, he came to the emergency department with signs of shock manifesting as hypothermia to 35.2 °C, tachycardia, and low blood pressure. Laboratory testing demonstrated leukocytosis with left shift and significant elevation of C-reactive protein. Stool and blood cultures were obtained, and he was admitted for fluid challenge and antibiotic treatment. On the second day of admission, he suffered from sudden onset of severe, diffuse abdominal pain. Physical examination revealed muscle guarding, rebounding tenderness, and silent bowel sound. Abdominal X-ray showed subdiaphragmatic free air at standing view. The patient underwent emergent exploratory laparotomy, which revealed sigmoid colon perforation about 0.5 cm. Enterolysis and repair of sigmoid colon were performed. Intraoperative stool specimen nucleic acid amplification testing had turned positive for Campylobacter spp. with negative results for other bacterial pathogens. His symptoms improved and he tolerated food well, and was discharged 15 days after admission. CONCLUSIONS We present this case because of the rarity of Campylobacter-induced sigmoid colon perforation in the pediatric population. It is important to keep in mind that sigmoid colon perforation can be due to an infectious cause, and one of the culprits can be Campylobacter. Infectious colitis caused by Campylobacter spp. should be managed cautiously and the use of antimotility agents in such conditions should be considered judiciously.
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Affiliation(s)
- Yung-Yu Chu
- grid.412896.00000 0000 9337 0481School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Cheng-Yi Lin
- grid.412896.00000 0000 9337 0481School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Tien-Lin Kuo
- grid.415755.70000 0004 0573 0483Department of Paediatrics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
| | - Shu-Chi Mu
- grid.415755.70000 0004 0573 0483Department of Paediatrics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan ,grid.256105.50000 0004 1937 1063Medical College, Fu-Jen Catholic University, New Taipei, Taiwan
| | - Beng-Huat Lau
- grid.415755.70000 0004 0573 0483Department of Paediatrics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
| | - Yuh-Yu Chou
- grid.415755.70000 0004 0573 0483Department of Pathology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
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Trompette M, Le Guilloux L, Souply L, Denis B, Tsouria A, Garrec H, Quentin V, Vaucel J, Locher C, Barjonet G, Marthelet P, Causse X, Poisson D, Nahon S, Joubrel-Guyot C, Grasset D, Pouedras P, Renou C, Toyer AL, Boruchowicz A, Cattoen C, Heluwaert F, Bland S, Faroux R, Desroys V, Paupard T, Verhaeghe A, Correro MO, Pujol C, Picon M, Gallou J, Kaassi M, Touroult-Jupin P, Arotcarena R, Villeneuve L, Payen JL, Libier L, Charpignon C, Rahma M, Manuardi AG, Jeanne A, Lahmek P, Condat B, Macaigne G. Increased incidence of Campylobacter enteritis and their quinolone resistance between 2010 and 2015: Results of a French national observatory conducted in 21 general hospitals (CHG). Clin Res Hepatol Gastroenterol 2019; 43:338-345. [PMID: 30528512 DOI: 10.1016/j.clinre.2018.10.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2018] [Revised: 10/20/2018] [Accepted: 10/30/2018] [Indexed: 02/04/2023]
Abstract
INTRODUCTION In Europe, the number of cases of Campylobacter enteritis and their quinolone resistance is increasing. The aims of this work were to evaluate: (1) the hospital epidemiology of bacterial enteritis between 2010 and 2015. (2) The proportion of Campylobacter and Salmonella enteritis. (3) Resistance to quinolones in adult and paediatric populations. (4) To investigate possible regional epidemiological and bacteriological disparities. PATIENTS AND METHODS This is a multicentric study carried out in 21 general hospitals (CHG) representing 14 French regions with a prospective collection of the results of coprocultures from 2010 to 2015 in adult and paediatric populations (children < 15 years old not exposed to quinolones). The epidemiological and bacteriological data were collected from software laboratory for positive stool cultures for Campylobacter and Salmonella. The results were compared year by year and by a period of 2 years. RESULTS In adults, Campylobacter enteritis was each year significantly more frequent than Salmonella (P < 0.001), with a significant increase from 2010 to 2015 (P < 0.05). In children, there was also a significant and stable predominance of Campylobacter enteritis over the study period (P = 0.002). The quinolone resistance of Campylobacter was greater than 50% on the whole territory, with no North-South difference over the three periods studied. It increased significantly from 2012 to 2015 in adults (48% to 55%, P < 0.05) and in children (54% to 61%, P = 0.04). CONCLUSION Our results confirm the increase in the prevalence of Campylobacter enteritis compared to Salmonella between 2010 and 2015. The quinolone resistance of Campylobacter is greater than 50% on the whole territory, stable between 2010 and 2015 in adults and significantly increased in children.
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Affiliation(s)
- Marie Trompette
- Centre hospitalier de Marne la Vallée, 2-4 cours de la Gondoire, 77600 Jossigny, France
| | - Laura Le Guilloux
- Centre hospitalier de Marne la Vallée, 2-4 cours de la Gondoire, 77600 Jossigny, France
| | - Laurent Souply
- Centre Hospitalier de Colmar, 39, avenue de la Liberté, 68024 Colmar cedex, France
| | - Bernard Denis
- Centre Hospitalier de Colmar, 39, avenue de la Liberté, 68024 Colmar cedex, France
| | - Ahmed Tsouria
- Centre hospitalier de Marne la Vallée, 2-4 cours de la Gondoire, 77600 Jossigny, France
| | - Hélène Garrec
- Centre Hospitalier de Bry sur Marne, 2r Pères-Camilliens, 94360 Bry-Sur-Marne, France
| | - Vincent Quentin
- Centre hospitalier de Saint-Brieuc, 10, rue Marcel-Proust, 22000 Saint-Brieuc, France
| | - Jacques Vaucel
- Centre hospitalier de Saint-Brieuc, 10, rue Marcel-Proust, 22000 Saint-Brieuc, France
| | - Christophe Locher
- Centre hospitalier de Meaux, 6-8, rue Saint-Fiacre, 77104 Meaux cedex, France
| | - Georges Barjonet
- Centre hospitalier de Montelimar, quartier Beausseret, route de Sauzet, 26200 Montélimar, France
| | - Patrick Marthelet
- Centre hospitalier de Montelimar, quartier Beausseret, route de Sauzet, 26200 Montélimar, France
| | - Xavier Causse
- Centre hospitalier régional d'Orléans, 14, avenue de l'Hôpital, 45067 Orléans, France
| | - Didier Poisson
- Centre hospitalier régional d'Orléans, 14, avenue de l'Hôpital, 45067 Orléans, France
| | - Stéphane Nahon
- Centre Hospitalier Intercommunal de Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France
| | - Caroline Joubrel-Guyot
- Centre Hospitalier Intercommunal de Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France
| | - Denis Grasset
- Centre hospitalier de Vannes, 20, boulevard Général-Maurice Guillaudot, 56017 Vannes cedex, France
| | - Pascal Pouedras
- Centre hospitalier de Vannes, 20, boulevard Général-Maurice Guillaudot, 56017 Vannes cedex, France
| | - Christophe Renou
- Centre hospitalier d'Hyères, boulevard Maréchal-Juin, 83400 Hyères, France
| | - Anne-Lise Toyer
- Centre hospitalier d'Hyères, boulevard Maréchal-Juin, 83400 Hyères, France
| | - Arnaud Boruchowicz
- Centre hospitalier de Valenciennes, avenue Désandrouin, CS 50479, 59322 Valenciennes cedex, France
| | - Christian Cattoen
- Centre hospitalier de Valenciennes, avenue Désandrouin, CS 50479, 59322 Valenciennes cedex, France
| | - Frédéric Heluwaert
- Centre hospitalier d'Annecy, 1, avenue de l'Hôpital, 74370 Metz-Tessy, France
| | - Stéphane Bland
- Centre hospitalier d'Annecy, 1, avenue de l'Hôpital, 74370 Metz-Tessy, France
| | - Roger Faroux
- Centre hospitalier de la Roche-sur-Yon, boulevard Stéphane-Moreau, 85000 La Roche-sur-Yon, France
| | - Valérie Desroys
- Centre hospitalier de la Roche-sur-Yon, boulevard Stéphane-Moreau, 85000 La Roche-sur-Yon, France
| | - Thierry Paupard
- Centre hospitalier de Dunkerque, 130, avenue Louis-Herbeaux, 59240 Dunkerque, France
| | - Annick Verhaeghe
- Centre hospitalier de Dunkerque, 130, avenue Louis-Herbeaux, 59240 Dunkerque, France
| | - Maria Ortiz Correro
- Centre hospitalier régional de Perpignan, 20, avenue du Languedoc, 66000 Perpignan, France
| | - Charlotte Pujol
- Centre hospitalier régional de Perpignan, 20, avenue du Languedoc, 66000 Perpignan, France
| | - Magali Picon
- Centre hospitalier d'Aix en Provence, avenue des Tamaris, 13100 Aix-en-Provence, France
| | - Jenny Gallou
- Centre hospitalier d'Aix en Provence, avenue des Tamaris, 13100 Aix-en-Provence, France
| | - Meddi Kaassi
- Centre hospitalier de Cholet, 1, rue de Marengo, 49300 Cholet, France
| | | | | | | | - Jean-Louis Payen
- Centre hospitalier de Bayonne, 13, avenue de l'Interne Jacques Loëb, 64100 Bayonne, France
| | - Lydie Libier
- Centre hospitalier de Bayonne, 13, avenue de l'Interne Jacques Loëb, 64100 Bayonne, France
| | - Claire Charpignon
- Institut mutualiste montsouris, 42, boulevard Jourdan, 75014 Paris, France
| | - Mahjoub Rahma
- Institut mutualiste montsouris, 42, boulevard Jourdan, 75014 Paris, France
| | - Aude Grébert Manuardi
- Centre Hospitalier de Villeneuve-Saint-Georges, 40, allée de la Source, 94190 Villeneuve-Saint-Georges, France
| | - Audrey Jeanne
- Centre Hospitalier de Villeneuve-Saint-Georges, 40, allée de la Source, 94190 Villeneuve-Saint-Georges, France
| | - Pierre Lahmek
- Centre Hospitalier de Villeneuve-Saint-Georges, 40, allée de la Source, 94190 Villeneuve-Saint-Georges, France
| | - Bertrand Condat
- Centre Hospitalier de Bry sur Marne, 2r Pères-Camilliens, 94360 Bry-Sur-Marne, France
| | - Gilles Macaigne
- Centre hospitalier de Marne la Vallée, 2-4 cours de la Gondoire, 77600 Jossigny, France.
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Kwok M, Maurice A, Lisec C, Brown J. Campylobacter colitis: Rare cause of toxic megacolon. Int J Surg Case Rep 2016; 27:141-143. [PMID: 27614338 PMCID: PMC5018068 DOI: 10.1016/j.ijscr.2016.08.030] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2016] [Accepted: 08/17/2016] [Indexed: 01/05/2023] Open
Abstract
INTRODUCTION Campylobacter is the leading cause of bacterial diarrhoeal illness worldwide. Toxic megacolon is a rare but potentially devastating complication. PRESENTATION OF CASE A 55year old female with liver cirrhosis, alcoholism and hepatitis C, presented with severe colitis and stool specimen positive for Campylobacter. She developed septic shock, multi-organ dysfunction syndrome and toxic megacolon unresponsive to medical therapy, and underwent a subtotal colectomy with end ileostomy. Despite initial improvement, the patient died on postoperative day 4. DISCUSSION Early surgical consultation is essential as toxic megacolon may be complicated by perforation or uncontrolled bleeding; progressive colonic dilatation with clinical deterioration is also an important indication for surgery. CONCLUSION Toxic megacolon should be considered in a patient with Campylobacter colitis who becomes critically unwell. Despite treatment, toxic megacolon is associated with a significant risk of mortality.
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Affiliation(s)
- Michael Kwok
- Department of General Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; Burns, Trauma and Critical Care Research Centre, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
| | - Andrew Maurice
- Department of General Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; Burns, Trauma and Critical Care Research Centre, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Carl Lisec
- Department of General Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; Burns, Trauma and Critical Care Research Centre, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Jason Brown
- Department of General Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; Burns, Trauma and Critical Care Research Centre, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia
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