Page 95 - Demo

Campylobacter Jejuni InfectionMicrobiological Characteristics:%u2022 Gram-negative curved bacilli ('rods')%u2022 Negative on stool culture and sensitivityClinical Features:%u2022 History of travel often present%u2022 Prodrome: High fever (40%u00b0C)%u2022 Initial watery diarrhea%u2022 Headache and myalgia%u2022 Progression to bloody diarrheaTreatment:%u2022 Often self-limiting with good hydration%u2022 Antibiotics for severe cases:%u2022 1st line: Erythromycin, clarithromycin, or azithromycin%u2022 2nd line: CiprofloxacinDifferential Diagnosis Notes:%u2022 Cholera: Gram-negative comma-shaped bacteria%u2022 Streptococcus pneumoniae: Gram-positive diplococci%u2022 Staphylococcus aureus: Gram-positive, coagulase-positive cocci