Persistence of multiply antibiotic-resistant campylobacter jejuni in a patient with the acquired immune deficiency syndrome
Chronic diarrhea due to Campylobacter jejuni has been described in patients with hypogammaglobulinemia. A patient with the acquired immune deficiency syndrome (AIDS) and normal total serum immunoglobulins had persistent diarrhea and C. jejuni on stool culture for seven and a half months despite repe...
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| Published in | The American journal of medicine Vol. 80; no. 5; pp. 965 - 970 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Elsevier Inc
01.05.1986
Elsevier |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Chronic diarrhea due to Campylobacter jejuni has been described in patients with hypogammaglobulinemia. A patient with the acquired immune deficiency syndrome (AIDS) and normal total serum immunoglobulins had persistent diarrhea and C. jejuni on stool culture for seven and a half months despite repeated antibiotic therapy. Antibiotic sensitivity studies revealed the C. jejuni to be multiply antibiotic-resistant. Evaluation of the mechanism of resistance showed the organism harbored a conjugative plasmid capable of transferring resistance to tetracycline, but not to other antibiotics. It is concluded that C. jejuni infection may rarely result in chronic diarrhea in patients with AIDS. The combination of an immune deficiency state including abnormal B cell function previously described in AIDS and multiple antibiotic resistance may have contributed to the persistence of the organism in this case. |
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| AbstractList | Chronic diarrhea due to Campylobacter jejuni has been described in patients with hypogammaglobulinemia. A patient with the acquired immune deficiency syndrome (AIDS) and normal total serum immunoglobulins had persistent diarrhea and C. jejuni on stool culture for seven and a half months despite repeated antibiotic therapy. Antibiotic sensitivity studies revealed the C. jejuni to be multiply antibiotic-resistant. Evaluation of the mechanism of resistance showed the organism harbored a conjugative plasmid capable of transferring resistance to tetracycline, but not to other antibiotics. It is concluded that C. jejuni infection may rarely result in chronic diarrhea in patients with AIDS. The combination of an immune deficiency state including abnormal B cell function previously described in AIDS and multiple antibiotic resistance may have contributed to the persistence of the organism in this case. Chronic diarrhea due to C. jejuni has been described in patients with hypogammaglobulinemia. A patient with the acquired immune deficiency syndrome (AIDS) and normal total serum immunoglobulins had persistent diarrhea and C. jejuni on stool culture for seven and a half months despite repeated antibiotic therapy. Antibiotic sensitivity studies revealed the C. jejuni to be multiply antibiotic-resistant. |
| Author | Abdoo, Robert A. Wormser, Gary P. Dworkin, Brad Cabello, Felipe Sivak, Steven L. Aguero, Maria E. |
| Author_xml | – sequence: 1 givenname: Brad surname: Dworkin fullname: Dworkin, Brad – sequence: 2 givenname: Gary P. surname: Wormser fullname: Wormser, Gary P. – sequence: 3 givenname: Robert A. surname: Abdoo fullname: Abdoo, Robert A. – sequence: 4 givenname: Felipe surname: Cabello fullname: Cabello, Felipe – sequence: 5 givenname: Maria E. surname: Aguero fullname: Aguero, Maria E. – sequence: 6 givenname: Steven L. surname: Sivak fullname: Sivak, Steven L. |
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| Keywords | Infection Campylobacter infection Immunopathology Spirillales Bacteriosis Spirillaceae Diarrhea Bacteria Digestive diseases AIDS Intestinal disease Campylobacter jejuni |
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| Snippet | Chronic diarrhea due to Campylobacter jejuni has been described in patients with hypogammaglobulinemia. A patient with the acquired immune deficiency syndrome... Chronic diarrhea due to C. jejuni has been described in patients with hypogammaglobulinemia. A patient with the acquired immune deficiency syndrome (AIDS) and... |
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| SubjectTerms | Acquired Immunodeficiency Syndrome - microbiology Adult AIDS/HIV Biological and medical sciences Campylobacter fetus - drug effects Campylobacter fetus - isolation & purification Campylobacter Infections - microbiology Campylobacter jejuni Chronic Disease Diarrhea - microbiology Drug Resistance, Microbial Feces - microbiology Female Humans Immunodeficiencies Immunodeficiencies. Immunoglobulinopathies Immunopathology Medical sciences Microbial Sensitivity Tests |
| Title | Persistence of multiply antibiotic-resistant campylobacter jejuni in a patient with the acquired immune deficiency syndrome |
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