Helicobacter cinaedi bacteremia in a returning traveler

Of the non‐Helicobacter pylori Helicobacter (NHPH) species, Helicobacter cinaedi is an emerging cause of infection in humans. Here we report a novel clinical presentation of H. cinaedi infection: a case of fever in a returning traveler. A 31 year old previously fit and well male presented with onset...

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Main Authors: Andrew Fox-Lewis, Indira Basu, Anna Vesty, Gillian Henderson, Aakash V. Chhibber, Mark Thomas
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250920302183
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author Andrew Fox-Lewis
Indira Basu
Anna Vesty
Gillian Henderson
Aakash V. Chhibber
Mark Thomas
author_facet Andrew Fox-Lewis
Indira Basu
Anna Vesty
Gillian Henderson
Aakash V. Chhibber
Mark Thomas
author_sort Andrew Fox-Lewis
collection DOAJ
description Of the non‐Helicobacter pylori Helicobacter (NHPH) species, Helicobacter cinaedi is an emerging cause of infection in humans. Here we report a novel clinical presentation of H. cinaedi infection: a case of fever in a returning traveler. A 31 year old previously fit and well male presented with onset of fever 24 h after returning from travel in Singapore and Indonesia. Associated symptoms consisted of sore throat, mild shortness of breath, generalized myalgia and arthralgia, headache, and four episodes of loose stools. The patient recovered spontaneously without treatment and was discharged. After 4 days of incubation, blood cultures grew H. cinaedi. H. cinaedi is a slow-growing fastidious organism poorly detected by some commonly used automated blood culture systems, and difficult to identify using commercial or traditional biochemical identification systems. This case illustrates the importance of H. cinaedi as an emerging pathogen in immunocompetent patients, with a wide variety of possible clinical presentations. The challenges in the microbiological diagnosis of H. cinaedi infections lead us to speculate that H. cinaedi is an underdiagnosed cause of febrile illness, both in returning travelers and in other clinical settings.
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spelling doaj.art-55af8ed574a44d1e98747caaa5c72fdd2022-12-21T20:04:46ZengElsevierIDCases2214-25092020-01-0121e00910Helicobacter cinaedi bacteremia in a returning travelerAndrew Fox-Lewis0Indira Basu1Anna Vesty2Gillian Henderson3Aakash V. Chhibber4Mark Thomas5Microbiology Department, LabPLUS, Auckland City Hospital, Auckland, New Zealand; Corresponding author at: Postal address: Microbiology Department, LabPLUS, Building 31, Auckland City Hospital, Gate 4 off Grafton Rd, Grafton, Auckland, New Zealand.Microbiology Department, LabPLUS, Auckland City Hospital, Auckland, New ZealandMicrobiology Department, LabPLUS, Auckland City Hospital, Auckland, New ZealandMicrobiology Department, LabPLUS, Auckland City Hospital, Auckland, New ZealandMicrobiology Department, LabPLUS, Auckland City Hospital, Auckland, New ZealandInfectious Diseases Department, Auckland City Hospital, Auckland, New ZealandOf the non‐Helicobacter pylori Helicobacter (NHPH) species, Helicobacter cinaedi is an emerging cause of infection in humans. Here we report a novel clinical presentation of H. cinaedi infection: a case of fever in a returning traveler. A 31 year old previously fit and well male presented with onset of fever 24 h after returning from travel in Singapore and Indonesia. Associated symptoms consisted of sore throat, mild shortness of breath, generalized myalgia and arthralgia, headache, and four episodes of loose stools. The patient recovered spontaneously without treatment and was discharged. After 4 days of incubation, blood cultures grew H. cinaedi. H. cinaedi is a slow-growing fastidious organism poorly detected by some commonly used automated blood culture systems, and difficult to identify using commercial or traditional biochemical identification systems. This case illustrates the importance of H. cinaedi as an emerging pathogen in immunocompetent patients, with a wide variety of possible clinical presentations. The challenges in the microbiological diagnosis of H. cinaedi infections lead us to speculate that H. cinaedi is an underdiagnosed cause of febrile illness, both in returning travelers and in other clinical settings.http://www.sciencedirect.com/science/article/pii/S2214250920302183HelicobacterHelicobacter cinaediFever in a returning travelerBacteremia
spellingShingle Andrew Fox-Lewis
Indira Basu
Anna Vesty
Gillian Henderson
Aakash V. Chhibber
Mark Thomas
Helicobacter cinaedi bacteremia in a returning traveler
IDCases
Helicobacter
Helicobacter cinaedi
Fever in a returning traveler
Bacteremia
title Helicobacter cinaedi bacteremia in a returning traveler
title_full Helicobacter cinaedi bacteremia in a returning traveler
title_fullStr Helicobacter cinaedi bacteremia in a returning traveler
title_full_unstemmed Helicobacter cinaedi bacteremia in a returning traveler
title_short Helicobacter cinaedi bacteremia in a returning traveler
title_sort helicobacter cinaedi bacteremia in a returning traveler
topic Helicobacter
Helicobacter cinaedi
Fever in a returning traveler
Bacteremia
url http://www.sciencedirect.com/science/article/pii/S2214250920302183
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