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May 17, 1985, Vol 253, No. 19 >
ARTICLE | May 17, 1985

Fatalities Associated With Campylobacter jejuni Infections FREE

Gordon S. Smith, MB, CHB, MPH; Martin J. Blaser, MD
[+] Author Affiliations

Trade names are used for identification only and do not imply endorsement by the Department of Health and Human Services or the Public Health Service.

Reprint requests to Infectious Disease Section (111L), Veterans Administration Medical Center, 1055 Clermont St, Denver, CO 80220 (Dr Blaser).


JAMA. 1985;253(19):2873-2875. doi:10.1001/jama.1985.03350430085033
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References

Although Campylobacter jejuni is now recognized as a common cause of gastroenteritis, fatalities associated with this infection in the United States have not been previously reported. Two fatalities associated with C jejuni infections occurred over a two-year period in the Denver metropolitan area. The first case was in a previously healthy 26-year-old woman who died following a two-day diarrheal illness. The second case was in a 69-year-old diabetic woman who died 19 hours after developing a gastrointestinal tract illness one day following hospital discharge for an orthopedic procedure. Both patients had taken an antimotility agent. During this same two-year period there were 24.4 reported cases of C jejuni infections per 100,000 population. The death rate per reported case was 2.4 per 1,000, and the overall death rate in the entire five-county population was 0.059 per 100,000 population. The exact causes of death for the two patients are not clear; however, hypokalemia may be a contributing factor, especially since there was no evidence of profound volume depletion in the one patient for whom laboratory data were available. Prompt hospitalization and withholding of antimotility agents may have prevented these deaths.

(JAMA 1985;253:2873-2875)

REFERENCES

1 +
Blaser MJ, Taylor DN, Feldman RA:  Epidemiology of Campylobacter jejuni infections . Epidemiol Rev 1983;;5:157-176.
2 +
Anolik JR, Mildvan D, Winter JW, et al:  Mycotic aortic aneurism: A complication of Campylobacter fetus septicemia . Arch Intern Med 1983;;143:609-610.
3 +
Bokkenheuser V:  Vibrio fetus infections in man: I. Ten new cases and some epidemiologic observations . Am J Epidemiol 1970;;91:400-409.
4 +
Guerrant RL, Lahita RG, Winn WC, et al:  Campylobacteriosis in man: Pathogenic mechanisms and review of 91 bloodstream infections . Am J Med 1978;;65:584-592.
5 +
Hopkins RS, Olmsted R:  Campylobacter jejuni infection in Colorado: Unexplained excess of cases in males . Public Health Rep , in press.
6 +
Berden HJM, Mutjens HL, van de Putte LBA:  Reactive arthritis associated with Campylobacter jejuni enteritis . Br Med J 1979;;1:381-382.
7 +
Kosunen TU, Kauranen O, Martio J, et al:  Reactive arthritis after Campylobacter jejuni enteritis in patients with HLA-B27 . Lancet 1980;;1:1312-1313.
8 +
Kowalec JK, Kaminsky ZC, Krey PR:  Campylobacter arthritis . Arthritis Rheum 1980;;23:92-94.
9 +
Darling WW, Peel RN, Skirrow MB, et al:  Campylobacter cholecystitis . Lancet 1979;;1:1302-1303.
10 +
Davies JS, Penfold JB:  Campylobacter urinary infection . Lancet 1979;;1:1091-1092.
11 +
Mertens A, DeSmet M:  Campylobacter cholecystitis . Lancet 1979;;1:1092-1093.
12 +
Norrby R, McCloskey RV, Zackrisson G, et al:  Meningitis caused by Campylobacter fetus ssp. jejuni . Br Med J 1980;;280:1164.
13 +
Ponka A, Pitkanen T, Pettersson T, et al:  Carditis and arthritis associated with Campylobacter jejuni infection . Acta Med Scand 1980;; 280:495-496.
14 +
Ponka A, Kosunen TU:  Pancreas affection in association with enteritis due to Campylobacter fetus ssp. jejuni . Acta Med Scand 1981;; 209:239-240.
15 +
Ponka A, Kosunen TU:  Pneumonia associated with enteritis due to Campylobacter fetus ssp. jejuni . Ann Clin Res 1982;;14:137-139.
16 +
Solomon NH, Lavie S, Tenney BL, et al:  Campylobacter presenting with convulsions . Clin Pediatr 1982;;21:118-119.
17 +
Billingham JD:  Campylobacter enteritis in The Gambia 1981 . Trans R Soc Trop Med Hyg 1981;;75:641-644.
18 +
 Communicable Disease Surveillance Centre: Review of Campylobacter reports to CDSC 1977-80 . Commun Dis Rep 1981;;12:3-4.
19 +
 Epidemiology of Campylobacter infections in Britain 1977 . Br Med J 1978;;11:1357.
20 +
Rosenberg ML, Gangarosa EJ, Pollard RA, et al:  Shigella surveillance in the United States 1975 . J Infect Dis 1977;;136:458-460.
21 +
Hauschild AH, Bryan FL:  Estimate of cases of food and waterborne illness in Canada and the United States . J Food Protect 1980;; 43:435-440.
22 +
Kendall EJC, Tanner EI:  Campylobacter enteritis in general practice . J Hyg 1982;;88:155-161.
23 +
Hodges RG, McCorkle LP, Badger GT, et al:  A study of illness in a group of Cleveland families: XI. The occurrence of gastrointestinal symptoms . Am J Hyg 1956;;64:349-356.
24 +
Monto AS, Koopman JS:  The Tecumseh study: XI. Occurrence of acute enteric illness in the community . Am J Epidemiol 1980;;112:323-333.
25 +
Nolan CM, Johnson KE, Coyle MB, et al:  Campylobacter jejuni enteritis: Efficacy of antimicrobial and antimotility drugs . Am J Gastroenterol 1983;;78:621-626.
26 +
DuPont HL, Hornick RB:  Adverse effect of Lomotil therapy in shigellosis . JAMA 1973;; 266:1525-1528.

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1 +
Blaser MJ, Taylor DN, Feldman RA:  Epidemiology of Campylobacter jejuni infections . Epidemiol Rev 1983;;5:157-176.
2 +
Anolik JR, Mildvan D, Winter JW, et al:  Mycotic aortic aneurism: A complication of Campylobacter fetus septicemia . Arch Intern Med 1983;;143:609-610.
3 +
Bokkenheuser V:  Vibrio fetus infections in man: I. Ten new cases and some epidemiologic observations . Am J Epidemiol 1970;;91:400-409.
4 +
Guerrant RL, Lahita RG, Winn WC, et al:  Campylobacteriosis in man: Pathogenic mechanisms and review of 91 bloodstream infections . Am J Med 1978;;65:584-592.
5 +
Hopkins RS, Olmsted R:  Campylobacter jejuni infection in Colorado: Unexplained excess of cases in males . Public Health Rep , in press.
6 +
Berden HJM, Mutjens HL, van de Putte LBA:  Reactive arthritis associated with Campylobacter jejuni enteritis . Br Med J 1979;;1:381-382.
7 +
Kosunen TU, Kauranen O, Martio J, et al:  Reactive arthritis after Campylobacter jejuni enteritis in patients with HLA-B27 . Lancet 1980;;1:1312-1313.
8 +
Kowalec JK, Kaminsky ZC, Krey PR:  Campylobacter arthritis . Arthritis Rheum 1980;;23:92-94.
9 +
Darling WW, Peel RN, Skirrow MB, et al:  Campylobacter cholecystitis . Lancet 1979;;1:1302-1303.
10 +
Davies JS, Penfold JB:  Campylobacter urinary infection . Lancet 1979;;1:1091-1092.
11 +
Mertens A, DeSmet M:  Campylobacter cholecystitis . Lancet 1979;;1:1092-1093.
12 +
Norrby R, McCloskey RV, Zackrisson G, et al:  Meningitis caused by Campylobacter fetus ssp. jejuni . Br Med J 1980;;280:1164.
13 +
Ponka A, Pitkanen T, Pettersson T, et al:  Carditis and arthritis associated with Campylobacter jejuni infection . Acta Med Scand 1980;; 280:495-496.
14 +
Ponka A, Kosunen TU:  Pancreas affection in association with enteritis due to Campylobacter fetus ssp. jejuni . Acta Med Scand 1981;; 209:239-240.
15 +
Ponka A, Kosunen TU:  Pneumonia associated with enteritis due to Campylobacter fetus ssp. jejuni . Ann Clin Res 1982;;14:137-139.
16 +
Solomon NH, Lavie S, Tenney BL, et al:  Campylobacter presenting with convulsions . Clin Pediatr 1982;;21:118-119.
17 +
Billingham JD:  Campylobacter enteritis in The Gambia 1981 . Trans R Soc Trop Med Hyg 1981;;75:641-644.
18 +
 Communicable Disease Surveillance Centre: Review of Campylobacter reports to CDSC 1977-80 . Commun Dis Rep 1981;;12:3-4.
19 +
 Epidemiology of Campylobacter infections in Britain 1977 . Br Med J 1978;;11:1357.
20 +
Rosenberg ML, Gangarosa EJ, Pollard RA, et al:  Shigella surveillance in the United States 1975 . J Infect Dis 1977;;136:458-460.
21 +
Hauschild AH, Bryan FL:  Estimate of cases of food and waterborne illness in Canada and the United States . J Food Protect 1980;; 43:435-440.
22 +
Kendall EJC, Tanner EI:  Campylobacter enteritis in general practice . J Hyg 1982;;88:155-161.
23 +
Hodges RG, McCorkle LP, Badger GT, et al:  A study of illness in a group of Cleveland families: XI. The occurrence of gastrointestinal symptoms . Am J Hyg 1956;;64:349-356.
24 +
Monto AS, Koopman JS:  The Tecumseh study: XI. Occurrence of acute enteric illness in the community . Am J Epidemiol 1980;;112:323-333.
25 +
Nolan CM, Johnson KE, Coyle MB, et al:  Campylobacter jejuni enteritis: Efficacy of antimicrobial and antimotility drugs . Am J Gastroenterol 1983;;78:621-626.
26 +
DuPont HL, Hornick RB:  Adverse effect of Lomotil therapy in shigellosis . JAMA 1973;; 266:1525-1528.

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