Campylobacter jejuni subdural hygroma infection in a 2-year old boy: case report and a brief literature review

Abstract Background Campylobacter jejuni is a common cause of acute gastroenteritis, but central nervous system infections are rare manifestations of Campylobacter infection. Therefore, C. jejuni trauma-related subdural hygroma infection in children is poorly described in the literature. Case presen...

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Main Authors: Ivana Valenčak-Ignjatić, Nina Krajcar, Diana Didović, Srđan Roglić, Iva Butić, Marko Jelić, Hrvoje Jednačak, Goran Tešović
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-022-07680-0
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author Ivana Valenčak-Ignjatić
Nina Krajcar
Diana Didović
Srđan Roglić
Iva Butić
Marko Jelić
Hrvoje Jednačak
Goran Tešović
author_facet Ivana Valenčak-Ignjatić
Nina Krajcar
Diana Didović
Srđan Roglić
Iva Butić
Marko Jelić
Hrvoje Jednačak
Goran Tešović
author_sort Ivana Valenčak-Ignjatić
collection DOAJ
description Abstract Background Campylobacter jejuni is a common cause of acute gastroenteritis, but central nervous system infections are rare manifestations of Campylobacter infection. Therefore, C. jejuni trauma-related subdural hygroma infection in children is poorly described in the literature. Case presentation We described a 2-year old boy with lobar holoprosencephaly presenting with subdural hygroma following head trauma. C. jejuni infection was confirmed from a subdural hygroma sample by culture as well as by DNA sequencing of a broad range 16S rDNA PCR product. Cerebrospinal fluid from the ventriculoperitoneal shunt remained sterile. Combined neurosurgical and antimicrobial treatment led to complete recovery. Review of the literature showed that the most common manifestation of Campylobacter central nervous system infection is meningitis, mostly in neonates, and subdural hygroma infection was described for only one case. Conclusions Subdural hygroma infection caused by C. jejuni is a rare clinical condition in children. Molecular methods represent an important tool for the detection of rare or unexpected pathogens. No standard recommendations for antimicrobial treatment of C. jejuni subdural space infection in children are available, but meropenem treatment combined with surgery seems to be an effective approach.
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spelling doaj.art-61f9f6334df44379ababd26553203d882022-12-22T02:34:44ZengBMCBMC Infectious Diseases1471-23342022-08-012211710.1186/s12879-022-07680-0Campylobacter jejuni subdural hygroma infection in a 2-year old boy: case report and a brief literature reviewIvana Valenčak-Ignjatić0Nina Krajcar1Diana Didović2Srđan Roglić3Iva Butić4Marko Jelić5Hrvoje Jednačak6Goran Tešović7Pediatric Infectious Diseases Department, University Hospital for Infectious Diseases “Dr. Fran Mihaljević”Pediatric Infectious Diseases Department, University Hospital for Infectious Diseases “Dr. Fran Mihaljević”Pediatric Infectious Diseases Department, University Hospital for Infectious Diseases “Dr. Fran Mihaljević”Pediatric Infectious Diseases Department, University Hospital for Infectious Diseases “Dr. Fran Mihaljević”Pediatric Infectious Diseases Department, University Hospital for Infectious Diseases “Dr. Fran Mihaljević”Pediatric Infectious Diseases Department, University Hospital for Infectious Diseases “Dr. Fran Mihaljević”Department of Neurosurgery, University Hospital Centre ZagrebPediatric Infectious Diseases Department, University Hospital for Infectious Diseases “Dr. Fran Mihaljević”Abstract Background Campylobacter jejuni is a common cause of acute gastroenteritis, but central nervous system infections are rare manifestations of Campylobacter infection. Therefore, C. jejuni trauma-related subdural hygroma infection in children is poorly described in the literature. Case presentation We described a 2-year old boy with lobar holoprosencephaly presenting with subdural hygroma following head trauma. C. jejuni infection was confirmed from a subdural hygroma sample by culture as well as by DNA sequencing of a broad range 16S rDNA PCR product. Cerebrospinal fluid from the ventriculoperitoneal shunt remained sterile. Combined neurosurgical and antimicrobial treatment led to complete recovery. Review of the literature showed that the most common manifestation of Campylobacter central nervous system infection is meningitis, mostly in neonates, and subdural hygroma infection was described for only one case. Conclusions Subdural hygroma infection caused by C. jejuni is a rare clinical condition in children. Molecular methods represent an important tool for the detection of rare or unexpected pathogens. No standard recommendations for antimicrobial treatment of C. jejuni subdural space infection in children are available, but meropenem treatment combined with surgery seems to be an effective approach.https://doi.org/10.1186/s12879-022-07680-0Campylobacter jejuniChildren16S rDNASubdural hygromaMeningitis
spellingShingle Ivana Valenčak-Ignjatić
Nina Krajcar
Diana Didović
Srđan Roglić
Iva Butić
Marko Jelić
Hrvoje Jednačak
Goran Tešović
Campylobacter jejuni subdural hygroma infection in a 2-year old boy: case report and a brief literature review
BMC Infectious Diseases
Campylobacter jejuni
Children
16S rDNA
Subdural hygroma
Meningitis
title Campylobacter jejuni subdural hygroma infection in a 2-year old boy: case report and a brief literature review
title_full Campylobacter jejuni subdural hygroma infection in a 2-year old boy: case report and a brief literature review
title_fullStr Campylobacter jejuni subdural hygroma infection in a 2-year old boy: case report and a brief literature review
title_full_unstemmed Campylobacter jejuni subdural hygroma infection in a 2-year old boy: case report and a brief literature review
title_short Campylobacter jejuni subdural hygroma infection in a 2-year old boy: case report and a brief literature review
title_sort campylobacter jejuni subdural hygroma infection in a 2 year old boy case report and a brief literature review
topic Campylobacter jejuni
Children
16S rDNA
Subdural hygroma
Meningitis
url https://doi.org/10.1186/s12879-022-07680-0
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