Campylobacter 0:41 isolation in Guillain-Barré syndrome

Over a period of 15 months, 17 children were admitted to the Red Cross War Memorial Children’s Hospital (RCWMCH) in Cape Town with Guillain-Barré syndrome. Stool specimens were collected from 14 children and campylobacter was isolated from nine. Six of the nine isolates of Campylobacter jejuni were...

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Bibliographic Details
Published in:Archives of disease in childhood 1997-06, Vol.76 (6), p.526-528
Main Authors: Goddard, E A, Lastovica, A J, Argent, A C
Format: Article
Language:English
Subjects:
Age
Bacterial Typing Techniques
Biological and medical sciences
Campylobacter Infections - microbiology
Campylobacter jejuni
Campylobacter jejuni - classification
Campylobacter jejuni - isolation & purification
Child
Child, Preschool
Children & youth
Confidence intervals
Diarrhea
Feces - microbiology
Guillain-Barre syndrome
Guillain-Barré syndrome
Hospitals
Humans
Infant
Infections
Intensive care
Length of Stay
Medical sciences
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Neurology
Original
Patients
Polyradiculoneuropathy - microbiology
Polyradiculoneuropathy - therapy
Respiration, Artificial
Studies
Ventilation
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Summary:Over a period of 15 months, 17 children were admitted to the Red Cross War Memorial Children’s Hospital (RCWMCH) in Cape Town with Guillain-Barré syndrome. Stool specimens were collected from 14 children and campylobacter was isolated from nine. Six of the nine isolates of Campylobacter jejuni were further identified as C jejuni biotype 2, serotype 0:41. This biotype 2, serotype 0:41 has been identified in only 12 of the 7119 campylobacter isolates at the RCWMCH over a 19 year period. Eight of the nine patients with campylobacter isolates and one of five with negative stool cultures required ventilation. Patients with C jejuni biotype 2, serotype 0:41 were ventilated for a mean (SD) of 33.5 (19.4) days, whereas patients with other campylobacter isolates were ventilated for 17.3 (3.8) days. This is the first report of campylobacters of serotype 0:41 in Guillain-Barré syndrome and could reflect a geographical isolation of this strain.
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.76.6.526