Campylobacter infection mimicking Crohn's disease in an immuno-deficient patient.

Abstract

BRITISH MEDICAL JOURNAL VOLUME 289 21 JULY 1984 159 between infarction and haemorrhage in the three groups is essentially unchanged. That treatment has different effects on different lesions caused by hypertension is perhaps not surprising. The most probable explanation is that the processes giving rise to atheroma are already established at the time when treatment is begun and that progression of these processes is unaffected by treatment. If so, preventive methods may require earlier intervention even before drug treatment would normally be considered. Further studies of possible reversible environmental factors in hypertension are required to define how practicable such measures are, but the burden of cerebrovascular disease in an aging population demands that these problems be examined scientifically.

Microevolution of Campylobacter jejuni during long-term infection in an immunocompromised host

“…As well as an increased likelihood of serious complications including bacteraemia, these patients may also develop recurrent infections 5 and sometimes chronic carriage of Campylobacter despite antibiotic treatment. Reported cases of chronic infection with Campylobacter in patients with hypogammaglobulinaemia, an immune disorder resulting in a reduction of gamma globulins, range from several months [6][7][8] to six years 9 with additional reports of potential cases lasting for 17 years 10 and 25 years 11 . The return of a C. jejuni infection following antibiotic treatment in an immunocompetent patient has been described 12 .…”

Clinical and Radiological Diagnosis of Crohn's Disease in Children

“…The radiological signs are not specific to Crohn's disease. Similar abnormalities are found in small bowel lymphoma and lymphosarcoma (24), ileal tuberculosis, and in infections with Yersinia, Campylobacter, and in amoebic colitis (4,10,25,26). The common finding of benign lymphoid hyperplasia in children should not be confused with Crohn's disease (3,27).…”

Granulomatous enteropathy in common variable immunodeficiency: a cause of chronic diarrhoea

“…"2'20 In particular, campylobacter enteritis may have a prolonged clinical course, and be difficult to eradicate with antibiotics.4'2 A hypogammaglobulinaemic patient has been described in whom chronic campylobacter infection was associated with granulomas on rectal biopsy. 22 In two further hypogammaglobulinaemic patients with chronic diarrhoea and mild steatorrhoea, rod-shaped organisms were isolated from the stools which reacted with an antiserum raised against Campylobacterjejuni.4 This organism could not be cultured in vitro, suggesting that the diarrhoea may have been due to a previously unrecognized campylobacter.…”