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Selected Publication:
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)
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- Co-authors Med Uni Graz
- Dichtl Karl
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- Abstract:
- 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
- Pseudoappendicitis