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Enterocolitis without diarrhoea in an adult patient: a clinical dilemma
  1. Gaurang Nandkishor Vaidya1,
  2. Amit Sharma1,
  3. Arman Khorasani-Zadeh1,
  4. Savio John2
  1. 1Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, New York, USA
  2. 2Department of Gastroenterology, SUNY Upstate Medical University, Syracuse, New York, USA
  1. Correspondence to Dr Gaurang Nandkishor Vaidya, gaurang2489{at}; vaidyag{at}


Campylobacter jejuni is one of the most common causes of bloody diarrhoea in the USA. We report a case of a young woman who presented with a clinical picture reminiscent of acute appendicitis. Ultrasonography and CT of the abdomen performed subsequently revealed evidence of colitis. Quite unexpectedly, she had no symptoms of diarrhoea and the stool Gram stain and culture were negative. Nevertheless, due to high clinical suspicion of infectious colitis, appendectomy was deferred. Blood culture was later reported positive for Campylobacter species and the patient responded to quinolones. With this case report we try to highlight one of the unusual presentations of C jejuni infection, closely mimicking acute appendicitis in the absence of classical symptoms of bacterial enteritis. In such cases, a high index of suspicion, astute history taking skills and the proper use of imaging studies can save the patient from the surgical knife.

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