Neonatal Campylobacter coli hemorrhagic enteritis and bacteraemia

Abstract

A case of neonatal campylobacteriosis with hemorrhagic enteritis and bacteraemia due to Campylobacter coli is presented. The mother, from a rural area, had three febrile self-limited diarrheic episodes during pregnancy. The neonate probably acquired the infection during labor. The newborn's serum showed high levels of specific immunoglobulins which could explain the scarce symptoms in this newborn, despite the delay in establishing the gentamicin therapy.

Neonatal Campylobacter Infection: A Diagnosis that should be Borne in Mind

“…Two blood-cultures should also be made if the newborn has fever and/or is ill appearing [9], because it's the only way of diagnosis' confirmation. Although in our case we don't have a positive blood culture, it has been reported in other studies [6] and it can be explained by the use of an automatic blood culture system, with an unknown sensitivity for Campylobacter detection [11]. On other way, the detection of Campylobacter on blood culture should requires a median growth rate exceeding 5 days -the standard incubation period for the blood culture bottles.…”

“…In newborns with unspecific symptoms, all the potential pathogens should be considered, due to the risk of bacteremia and invasive disease [1]. The enteric infection shouldn't be forgotten, moreover when diarrhea is present, in order to start the specific treatment as soon as possible, and avoid the complications and sequels, not only of the campylobacteriosis but also of a severe sepsis [6].…”

Retrospective study showed that bacterial gastroenteritis was an important cause of bloody stools in newborn infants

“…This can be explained by the nature of an infant's diet, which rarely exposes them to contaminated food. As a result, only a few case reports have been published . Moreover, bacterial gastroenteritis in the first week of life is almost unprecedented, and there are very few publications on managing these infections.…”

GERMINAÇÃO DE SEMENTES DE MARACUJÁ (Passiflora edulis) COM DIFERENTES TEMPOS DE IMERSÃO EM ÁCIDO SULFÚRICO

“…Na maior parte dos casos, as cepas mais frequentes associadas com enfermidades humanas pertencentes às espécies catalase positiva C. jejuni, C. coli, C. lari, C. fetus, C. hyointestinalis, C. cinaedi e C. fennelliae(SILVA, 1997).A presença de Campylobacter.ssp em animais selvagens, que atuam como reservatórios, é considerada um perigo em potencial para a saúde animal e humana, no entanto, o número de animais selvagens na categoria de reservatório ainda é desconhecida (MOLINA-LOPEZ, 2011).Roedores silvestres com exceção da capivara;gambá(BONDO et al .,2019),tamanduá-bandeira e canguru são alguns exemplos de selvagens com presença dessa bactéria(OGDEN et al, 2009). No Brasil, há relatos da presença dela em fezes de indivíduos com diarreia aguda ou crônica e inclusive em pessoas assintomáticas atentando que os quadros diarreicos têm variado entre 2,3% a 17%dependendo da faixa etária e das condições sócio econômica dos pacientes(RUIZ ESQUIDE et al,2003). A Organização Mundial de Saúde(OMS, 2000) salientou que o C. jejuni é o agente mais frequente nos casos de gastroenterite nos países desenvolvidos.…”