Yonsei Med J. 1995 Apr;36(2):202-205. English.
Published online Feb 20, 2002.
Copyright © 1995 The Yonsei University College of Medicine
Case Report

In vivo pefloxacin-resistant Campylobacter fetus responsible for gastro-intestinal infection and bacteremia associated with arthritis of the hip

Watine Joseph, Martorell Jean, Bruna Thierry, Gineston Jean Louis, Poirier Jean Luc and Lamblin Geraldine
    • Department of Bacteriology, Hopital de Rodez, France.

Abstract

The authors report a case of Campylobacter fetus subsp. fetus gastro-intestinal infection and bacteremia with poly-arthritis, mainly of the hip, in a French patient simultaneously suffering from cirrhosis of the liver. The outcome was eventually favorable, however only after a trial of ineffective pefloxacin-gentamicin therapy. The authors suggest: (i) gentamicin should not be given alone in C. fetus subsp. fetus infections, and (ii) pefloxacin should not be given if antibiotic sensitivities data are not available. The inconclusive reliability of disk diffusion tests for C. fetus subsp. fetus should be recognized.

Keywords
Pefloxacin; campylobacter fetus subsp; fetus; Hip


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