An unexpected Campylobacter fetus infection
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A 76-year-old male patient with malaise, inflammatory disease, and clinical suspicion of pneumonia was admitted to the pneumology department. Chest radiograph showed right perihilar, and upper lobe consolidation with patchy infiltrates, attributed to tuberculosis incurred at a young age. Antibiotic treatment with piperacillin–tazobactam 4.5 g t.i.d. iv was initiated. The patient presented with pronounced cachexia and marasmus due to persistent diarrhea lasting at least a year, decreased food intake following a gastric bypass in September 2014, and chronic alcohol abuse. In the past 2 years he lost 60 kg. Furthermore, he has MGUS and was treated for mitral valve endocarditis in June 2014. A molecular assay detected Campylobacter non-coli and non-jejuni in the feces, but culture remained negative. Intravenous fluid resuscitation and erythromycin 500 mg t.i.d. iv was started. Abdomen CT scan with contrast disclosed a whirlpool sign of the inferior mesenteric vein, suggestive of internal...
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The authors declare that they have no conflicts of interest
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