Thermophilic multidrug-resistant Campylobacter fetus infection with hypersplenism and histiocytic phagocytosis in a patient with acquired immunodeficiency syndrome

Clin Infect Dis. 2001 Jan 15;32(2):295-6. doi: 10.1086/318472. Epub 2001 Jan 15.

Abstract

We present a case report of a patient who had acquired immunodeficiency syndrome (AIDS) and Campylobacter fetus infection with a number of unusual clinical and microbiological features. The patient had prominent gastrointestinal symptoms, splenic infarction, splenomegaly with hypersplenism, and hemophagocytic histiocytosis in the spleen and lymph nodes; the organism displayed growth on Campy-selective blood agar, thermotolerance, and resistance to quinolones, piperacillin/tazobactam, ceftazidime, and erythromycin.

Publication types

  • Case Reports

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Adult
  • Anti-Bacterial Agents / pharmacology
  • Campylobacter Infections / complications*
  • Campylobacter Infections / microbiology
  • Campylobacter fetus / drug effects*
  • Ceftazidime / pharmacology
  • Cephalosporins / pharmacology
  • Diarrhea / etiology
  • Drug Resistance, Microbial
  • Enzyme Inhibitors / pharmacology
  • Erythromycin / pharmacology
  • Histiocytes / immunology*
  • Histiocytosis / complications
  • Humans
  • Hypersplenism / complications*
  • Male
  • Penicillanic Acid / analogs & derivatives*
  • Penicillanic Acid / pharmacology
  • Penicillins / pharmacology
  • Phagocytosis*
  • Piperacillin / pharmacology
  • Quinolones / pharmacology
  • Splenic Infarction / etiology
  • Splenomegaly / complications
  • Tazobactam

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • Enzyme Inhibitors
  • Penicillins
  • Quinolones
  • Erythromycin
  • Penicillanic Acid
  • Ceftazidime
  • Tazobactam
  • Piperacillin