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131 - Campylobacter

from Part XVIII - Specific organisms: bacteria

Published online by Cambridge University Press:  05 April 2015

David W. K. Acheson
Affiliation:
The Acheson Group
David Schlossberg
Affiliation:
Temple University, Philadelphia
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Summary

Campylobacter (Greek campylo, curved; bacter, rod) are motile, non-spore-forming gram-negative rods. Today they are recognized as a very common cause of gastrointestinal (GI) infection in humans in many parts of the world. Campylobacter organisms were first isolated in the early 1900s from aborted sheep fetuses. However, it was not until the 1970s that Campylobacter were isolated from stool.

While there are many members of the genus Campylobacter, the major enteric pathogen for humans is Campylobacter jejuni, although Campylobacter coli, Campylobacter fetus, Campylobacter upsaliensis, and Campylobacter lari are also pathogenic to humans. C. jejuni is most frequently associated with GI disease, and C. fetus usually causes systemic infection, often in debilitated patients. Campylobacter are microaerophilic, and although all will grow at 37°C (98.6°F), C. jejuni grows best at 42°C (107.6°F). A number of selective media are in use for the detection of Campylobacter spp. and the organisms grow optimally in a gas mixture of 5% to 10% oxygen, 1% to 10% carbon dioxide, and some hydrogen. Growth may be present following overnight incubation, but 2 days are needed before a negative report can be issued.

Although several serotypes of C. jejuni have been reported, there are few data regarding the relative virulence of these different types, although some appear to be more closely associated with the development of Guillain–Barre´ syndrome (GBS) than others.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2015

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References

Allos, BM. Clinical features and treatment of Campylobacter infection. In: UpToDate 2013; UpToDate. Available at: (accessed September 30, 2013).
Allos, BM. Microbiology, pathogenesis, and epidemiology of Campylobacter infection. In: UpToDate 2013; UpToDate. Available at: (accessed September 30, 2013)
Giesendorf, BAJ, van Belkum, A, Koeken, A, et al. Development of species-specific DNA probes for Campylobacter jejuni, Campylobacter coli, and Campylobacter lari by polymerase chain reaction fingerprinting. J Clin Microbiol. 1993;31:1541–1546.Google ScholarPubMed
Nachamkin, I, Allos, B, Ho, T. Campylobacter species and Guillain-Barré syndrome. Clin Microbiol Rev. 1998;11:555–567.Google ScholarPubMed
Skirrow, MB. Campylobacter enteritis: a “new” disease. Br Med J. 1977;2(6078):9–11.CrossRefGoogle ScholarPubMed
Skirrow, MB, Blaser, MJ. Campylobacter jejuni. In: Blaser, MJ, Smith, PD, Ravodom, HB, Guerrant, RL, eds. Infections of the Gastrointestinal Tract. New York: Raven Press; 1995:825–848.Google Scholar
Skirrow, MB, Jones, DM, Sutcliffe, E, Benjamin, J. Campylobacter bacteraemia in England and Wales, 1981–1991. Epidemiol Infect. 1993;110:567–573.CrossRefGoogle Scholar

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