Clinical Manifestations of Campylobacter concisus Infection in Children

BACKGROUND:There is only sparse information about the clinical impact of Campylobacter concisus infections in children. METHODS:A study was performed during a 2-year period to determine the clinical manifestations in C. concisus–positive children with gastroenteritis. A case patient was defined as a...

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Veröffentlicht in:The Pediatric infectious disease journal 2013-11, Vol.32 (11), p.1194-1198
Hauptverfasser: Nielsen, Hans Linde, Engberg, Jørgen, Ejlertsen, Tove, Nielsen, Henrik
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container_end_page 1198
container_issue 11
container_start_page 1194
container_title The Pediatric infectious disease journal
container_volume 32
creator Nielsen, Hans Linde
Engberg, Jørgen
Ejlertsen, Tove
Nielsen, Henrik
description BACKGROUND:There is only sparse information about the clinical impact of Campylobacter concisus infections in children. METHODS:A study was performed during a 2-year period to determine the clinical manifestations in C. concisus–positive children with gastroenteritis. A case patient was defined as a child or teenager (
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METHODS:A study was performed during a 2-year period to determine the clinical manifestations in C. concisus–positive children with gastroenteritis. A case patient was defined as a child or teenager (&lt;18 years) with a C. concisus–positive stool sample during the study period. Clinical data were obtained with use of a questionnaire study supplemented with the patients’ medical records. The clinical manifestations in these patients were compared with those of patients with Campylobacter jejuni/coli infection. RESULTS:Two thousand three hundred seventy-two diarrheic stool samples from 1867 children were cultured for pathogenic enteric bacteria during the study period, and 85 and 109 children with C. concisus and C. jejuni/coli, respectively, were identified. Comparison of the acute clinical manifestations in 44 C. concisus patients with those in 64 C. jejuni/coli patients showed a significantly lower prevalence of fever, chills and blood in stools in the former. However, half of C. concisus patients compared with one-fourth of C. jejuni/coli patients had prolonged diarrhea for more than 2 weeks and two-thirds of all children with C. concisus reported loose stools after 6-month follow-up. CONCLUSIONS:C. concisus infection in children seems to have a milder course of acute gastroenteritis compared with C. jejuni/coli infection but is associated with more prolonged diarrhea. Children with C. concisus have the same degree of late gastrointestinal complaints as children diagnosed with C. jejuni/coli infection.</description><identifier>ISSN: 0891-3668</identifier><identifier>EISSN: 1532-0987</identifier><identifier>DOI: 10.1097/INF.0b013e31829f0aff</identifier><identifier>PMID: 23743545</identifier><identifier>CODEN: PIDJEV</identifier><language>eng</language><publisher>Hagerstown, MD: by Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Campylobacter - classification ; Campylobacter - isolation &amp; purification ; Campylobacter Infections - drug therapy ; Campylobacter Infections - epidemiology ; Campylobacter Infections - microbiology ; Campylobacter Infections - pathology ; Child ; Child, Preschool ; Cohort Studies ; Denmark - epidemiology ; Diarrhea - drug therapy ; Diarrhea - epidemiology ; Diarrhea - microbiology ; Feces - microbiology ; Gastroenteritis - drug therapy ; Gastroenteritis - epidemiology ; Gastroenteritis - microbiology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hospitalization ; Humans ; Infant ; Infectious diseases ; Medical sciences ; Other diseases. Semiology ; Prospective Studies ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>The Pediatric infectious disease journal, 2013-11, Vol.32 (11), p.1194-1198</ispartof><rights>2013 by Lippincott Williams &amp; Wilkins, Inc.</rights><rights>2014 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386f-3b0e28034791ac82463319bb77c27a2b6a2db634072430b9781d2c6c55312f573</citedby><cites>FETCH-LOGICAL-c386f-3b0e28034791ac82463319bb77c27a2b6a2db634072430b9781d2c6c55312f573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27894826$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23743545$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nielsen, Hans Linde</creatorcontrib><creatorcontrib>Engberg, Jørgen</creatorcontrib><creatorcontrib>Ejlertsen, Tove</creatorcontrib><creatorcontrib>Nielsen, Henrik</creatorcontrib><title>Clinical Manifestations of Campylobacter concisus Infection in Children</title><title>The Pediatric infectious disease journal</title><addtitle>Pediatr Infect Dis J</addtitle><description>BACKGROUND:There is only sparse information about the clinical impact of Campylobacter concisus infections in children. METHODS:A study was performed during a 2-year period to determine the clinical manifestations in C. concisus–positive children with gastroenteritis. A case patient was defined as a child or teenager (&lt;18 years) with a C. concisus–positive stool sample during the study period. Clinical data were obtained with use of a questionnaire study supplemented with the patients’ medical records. The clinical manifestations in these patients were compared with those of patients with Campylobacter jejuni/coli infection. RESULTS:Two thousand three hundred seventy-two diarrheic stool samples from 1867 children were cultured for pathogenic enteric bacteria during the study period, and 85 and 109 children with C. concisus and C. jejuni/coli, respectively, were identified. Comparison of the acute clinical manifestations in 44 C. concisus patients with those in 64 C. jejuni/coli patients showed a significantly lower prevalence of fever, chills and blood in stools in the former. However, half of C. concisus patients compared with one-fourth of C. jejuni/coli patients had prolonged diarrhea for more than 2 weeks and two-thirds of all children with C. concisus reported loose stools after 6-month follow-up. CONCLUSIONS:C. concisus infection in children seems to have a milder course of acute gastroenteritis compared with C. jejuni/coli infection but is associated with more prolonged diarrhea. Children with C. concisus have the same degree of late gastrointestinal complaints as children diagnosed with C. jejuni/coli infection.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Campylobacter - classification</subject><subject>Campylobacter - isolation &amp; purification</subject><subject>Campylobacter Infections - drug therapy</subject><subject>Campylobacter Infections - epidemiology</subject><subject>Campylobacter Infections - microbiology</subject><subject>Campylobacter Infections - pathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Denmark - epidemiology</subject><subject>Diarrhea - drug therapy</subject><subject>Diarrhea - epidemiology</subject><subject>Diarrhea - microbiology</subject><subject>Feces - microbiology</subject><subject>Gastroenteritis - drug therapy</subject><subject>Gastroenteritis - epidemiology</subject><subject>Gastroenteritis - microbiology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Prospective Studies</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Prospective Studies</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nielsen, Hans Linde</creatorcontrib><creatorcontrib>Engberg, Jørgen</creatorcontrib><creatorcontrib>Ejlertsen, Tove</creatorcontrib><creatorcontrib>Nielsen, Henrik</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Pediatric infectious disease journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nielsen, Hans Linde</au><au>Engberg, Jørgen</au><au>Ejlertsen, Tove</au><au>Nielsen, Henrik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Manifestations of Campylobacter concisus Infection in Children</atitle><jtitle>The Pediatric infectious disease journal</jtitle><addtitle>Pediatr Infect Dis J</addtitle><date>2013-11</date><risdate>2013</risdate><volume>32</volume><issue>11</issue><spage>1194</spage><epage>1198</epage><pages>1194-1198</pages><issn>0891-3668</issn><eissn>1532-0987</eissn><coden>PIDJEV</coden><abstract>BACKGROUND:There is only sparse information about the clinical impact of Campylobacter concisus infections in children. METHODS:A study was performed during a 2-year period to determine the clinical manifestations in C. concisus–positive children with gastroenteritis. A case patient was defined as a child or teenager (&lt;18 years) with a C. concisus–positive stool sample during the study period. Clinical data were obtained with use of a questionnaire study supplemented with the patients’ medical records. The clinical manifestations in these patients were compared with those of patients with Campylobacter jejuni/coli infection. RESULTS:Two thousand three hundred seventy-two diarrheic stool samples from 1867 children were cultured for pathogenic enteric bacteria during the study period, and 85 and 109 children with C. concisus and C. jejuni/coli, respectively, were identified. Comparison of the acute clinical manifestations in 44 C. concisus patients with those in 64 C. jejuni/coli patients showed a significantly lower prevalence of fever, chills and blood in stools in the former. However, half of C. concisus patients compared with one-fourth of C. jejuni/coli patients had prolonged diarrhea for more than 2 weeks and two-thirds of all children with C. concisus reported loose stools after 6-month follow-up. CONCLUSIONS:C. concisus infection in children seems to have a milder course of acute gastroenteritis compared with C. jejuni/coli infection but is associated with more prolonged diarrhea. Children with C. concisus have the same degree of late gastrointestinal complaints as children diagnosed with C. jejuni/coli infection.</abstract><cop>Hagerstown, MD</cop><pub>by Lippincott Williams &amp; Wilkins, Inc</pub><pmid>23743545</pmid><doi>10.1097/INF.0b013e31829f0aff</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Biological and medical sciences
Campylobacter - classification
Campylobacter - isolation & purification
Campylobacter Infections - drug therapy
Campylobacter Infections - epidemiology
Campylobacter Infections - microbiology
Campylobacter Infections - pathology
Child
Child, Preschool
Cohort Studies
Denmark - epidemiology
Diarrhea - drug therapy
Diarrhea - epidemiology
Diarrhea - microbiology
Feces - microbiology
Gastroenteritis - drug therapy
Gastroenteritis - epidemiology
Gastroenteritis - microbiology
Gastroenterology. Liver. Pancreas. Abdomen
Hospitalization
Humans
Infant
Infectious diseases
Medical sciences
Other diseases. Semiology
Prospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surveys and Questionnaires
Treatment Outcome
title Clinical Manifestations of Campylobacter concisus Infection in Children
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