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SHR Neuro Cancer Cardio Lipid Metab Microb

Amereller, F; Lottspeich, C; Buchholz, G; Dichtl, K.
A horse and a zebra: an atypical clinical picture including Guillain-Barré syndrome, recurrent fever and mesenteric lymphadenopathy caused by two concomitant infections.
Infection. 2020; 48(3): 471-475. Doi: 10.1007/s15010-020-01397-5 (- Case Report) [OPEN ACCESS]
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Co-authors Med Uni Graz
Dichtl Karl

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BACKGROUND: While Campylobacter jejuni represents the most common cause of bacterial gastroenteritis, Yersinia pseudotuberculosis infections are very rarely diagnosed in adults. CASE: We report on a previously healthy patient who presented several times at our hospital with fever, Guillain-Barré syndrome, recurrent abdominal symptoms and distinct mesenteric lymphadenopathy, respectively. This complicated and diagnostically challenging course of disease was caused by a C. jejuni and Y. pseudotuberculosis coinfection. Antibiotic treatment with doxycycline was effective. CONCLUSION: Broad serology testing was crucial to discover that two concomitant infections were causing the symptoms. This case demonstrates that when a clinical picture is not fully explained by one known infection, another infection with the same underlying risk factor has to be considered, hence "a horse and a zebra".
Find related publications in this database (using NLM MeSH Indexing)
Adult - administration & dosage
Anti-Bacterial Agents - therapeutic use
Campylobacter Infections - diagnosis, diagnostic imaging, drug therapy, microbiology
Campylobacter jejuni - isolation & purification
Coinfection - diagnosis, diagnostic imaging, drug therapy, microbiology
Doxycycline - therapeutic use
Fever - microbiology
Gastrointestinal Diseases - diagnosis, diagnostic imaging, drug therapy, microbiology
Germany - administration & dosage
Guillain-Barre Syndrome - diagnosis, diagnostic imaging, microbiology
Humans - administration & dosage
Lymphadenopathy - diagnosis, microbiology
Male - administration & dosage
Recurrence - administration & dosage
Treatment Outcome - administration & dosage
Yersinia pseudotuberculosis - isolation & purification
Yersinia pseudotuberculosis Infections - diagnosis, diagnostic imaging, drug therapy, microbiology

Find related publications in this database (Keywords)
Campylobacter jejuni
Yersinia pseudotuberculosis
Guillain-Barre syndrome
Mesenteric lymphadenopathy
Mesenteric lymphadenitis
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