Thread by @IUIDfellowship

#idboardreview 65 M&F couple present with fever & diarrhea for 2 days. They ate chicken liver pate at a restaurant last week. Diagnosis? #medEd #idmedEd

cdc.gov/mmwr/preview/m… #campylobacter jejuni

#campylobacter sp small, curved gram negative rods (S or C shaped or gull wing shaped) cause GI illness lasts from 1-7 days. Diarrhea is generally bloody and is associated with abdominal pain.

#campylobacter found in variety of animals & common cause of diarrhea worldwide. In developed nations: incidence peaks in later summer/fall but infections occur year around in developing countries. Transmission to humans is mostly from consumption or handling of poultry 🐔

many #campylobacter thrive at 42C. Quite small 0.3-0.6 micro in diameter & mobile. Microaerophilic & grow best at oxygen concentration of 5%-10%. Gold standard dx: isolation in stool or occasionally blood culture

#campylobacter treatment: rehydration. abx may shorten duration of symptoms. Erythromycin 250mg QID x5-7d or extended spectrum macrolide are equally efficacious. Prevention: thoroughly cooking poultry and hand hygiene when handling foods of animal origin

#campylobacter rising FQ resistance due to use of FQ in animal farming ncbi.nlm.nih.gov/pmc/articles/P…
ncbi.nlm.nih.gov/pmc/articles/P…