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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Format: | Article |
Language: | English |
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Elsevier
2020-01-01
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Series: | IDCases |
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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. |
first_indexed | 2024-12-19T21:36:49Z |
format | Article |
id | doaj.art-55af8ed574a44d1e98747caaa5c72fdd |
institution | Directory Open Access Journal |
issn | 2214-2509 |
language | English |
last_indexed | 2024-12-19T21:36:49Z |
publishDate | 2020-01-01 |
publisher | Elsevier |
record_format | Article |
series | IDCases |
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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