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Unusual association of diseases/symptoms
CASE REPORT
Campylobacter jejuni and Pseudomonas coinfection in the setting of ulcerative colitis
  1. John Paul Iguidbashian1,
  2. Jai D Parekh2,
  3. Shweta Kukrety2,
  4. Venkata Giri Andukuri2
  1. 1 CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA
  2. 2 Internal Medicine, CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA
  1. Correspondence to Dr Jai D Parekh, jai.d.parekh{at}gmail.com

Summary

A 66-year-old woman presented with 2 days of fever and severe diarrhoea. She has a history of ulcerative colitis (UC), well controlled with medication. She also has a history of Ehlers-Danlos syndrome, infective endocarditis following aortic valve replacement and pulmonary embolism. She had complained of passing stool with traces of blood about 30 times per day. Stool testing for Clostridium difficile, routine culture and microscopy was done. She was started on ceftriaxone. CT scan revealed thick-walled colon consistent with UC flare. Flexible sigmoidoscopy showed active continuous colitis extending from the rectum to the proximal descending colon. Campylobacter jejuni was isolated from the stool and blood cultures yielded Pseudomonas aeruginosa. The antibiotic was transitioned to intravenous piperacillin/tazobactam and azithromycin followed by 2 weeks of intravenous cefepime. Her diarrhoea was controlled, and she was discharged for follow-up in 2 months.

  • gastroenterology
  • infection (gastroenterology)
  • inflammatory bowel disease
  • ulcerative colitis

https://doi.org/10.1136/bcr-2018-224941

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    Footnotes

    • Contributors JPI provided and cared for the patient, outlined and wrote the case report, and coordinated involvement of all authors. JDP provided and cared for the patient, reviewed and revised written report, and acted as corresponding author for the project. SK provided and cared for the patient, contributed background information, and reviewed and revised the written report. VGA cared for the patient and served as scientific adviser for the project.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.