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Campylobacter fetus Bacteremia Presenting with Bilateral Lower Leg Cellulitis in an Immunocompetent Adult.

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Τίτλος: Campylobacter fetus Bacteremia Presenting with Bilateral Lower Leg Cellulitis in an Immunocompetent Adult.
Συγγραφείς: Shirota S; Department of General Medicine, Osaka Medical and Pharmaceutical University Hospital, Japan., Omura Y; Department of General Medicine, Osaka Medical and Pharmaceutical University Hospital, Japan., Ogawa T; Infection Control Center, Osaka Medical and Pharmaceutical University Hospital, Japan.
Πηγή: Internal medicine (Tokyo, Japan) [Intern Med] 2026 Sep 15; Vol. 65 (18), pp. 2515-2519. Date of Electronic Publication: 2026 Feb 01.
Τύπος έκδοσης: Journal Article; Case Reports
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Japanese Society of Internal Medicine Country of Publication: Japan NLM ID: 9204241 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1349-7235 (Electronic) Linking ISSN: 09182918 NLM ISO Abbreviation: Intern Med Subsets: MEDLINE
Imprint Name(s): Original Publication: Tokyo, Japan : Japanese Society of Internal Medicine, [1992-
Ιατρικοί όροι (MeSH): Cellulitis*/microbiology , Cellulitis*/diagnosis , Cellulitis*/drug therapy , Campylobacter fetus*/isolation & purification , Campylobacter Infections*/diagnosis , Campylobacter Infections*/drug therapy , Campylobacter Infections*/complications , Campylobacter Infections*/microbiology , Bacteremia*/diagnosis , Bacteremia*/drug therapy , Bacteremia*/microbiology , Bacteremia*/complications, Anti-Bacterial Agents/therapeutic use ; Leg/microbiology ; Humans ; Female ; Aged, 80 and over ; Immunocompetence
Περίληψη: Campylobacter fetus is a species of the Campylobacter genus that often causes bacteremia in immunocompromised patients. Although cellulitis due to C. fetus has been previously described, bilateral involvement is rare. We herein report the case of an 87-year-old woman without immunodeficiency, who presented with fever and bilateral leg pain. An examination showed inflammatory changes in both lower legs, and blood cultures showed the growth of C. fetus. Antimicrobial therapy was initiated with meropenem, de-escalated to ampicillin, and then switched to oral amoxicillin, which resulted in a clinical improvement. This case highlights that C. fetus can cause bacteremia and bilateral cellulitis, even in an immunocompetent adult, thereby underscoring the importance of blood cultures.
Contributed Indexing: Keywords: Campylobacter bacteremia; Campylobacter fetus; bilateral cellulitis
Substance Nomenclature: 0 (Anti-Bacterial Agents)
Entry Date(s): Date Created: 20260201 Date Completed: 20260916 Latest Revision: 20260918
Update Code: 20260918
DOI: 10.2169/internalmedicine.6710-25
PMID: 41621878
Βάση Δεδομένων: MEDLINE
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  Data: Campylobacter fetus Bacteremia Presenting with Bilateral Lower Leg Cellulitis in an Immunocompetent Adult.
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  Data: <searchLink fieldCode="AU" term="%22Shirota+S%22">Shirota S</searchLink>; Department of General Medicine, Osaka Medical and Pharmaceutical University Hospital, Japan.<br /><searchLink fieldCode="AU" term="%22Omura+Y%22">Omura Y</searchLink>; Department of General Medicine, Osaka Medical and Pharmaceutical University Hospital, Japan.<br /><searchLink fieldCode="AU" term="%22Ogawa+T%22">Ogawa T</searchLink>; Infection Control Center, Osaka Medical and Pharmaceutical University Hospital, Japan.
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  Data: <searchLink fieldCode="JN" term="%229204241%22">Internal medicine (Tokyo, Japan)</searchLink> [Intern Med] 2026 Sep 15; Vol. 65 (18), pp. 2515-2519. <i>Date of Electronic Publication: </i>2026 Feb 01.
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  Data: Journal Article; Case Reports
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  Data: English
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Japanese+Society+of+Internal+Medicine%22">Japanese Society of Internal Medicine </searchLink><i>Country of Publication: </i>Japan <i>NLM ID: </i>9204241 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1349-7235 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2209182918%22">09182918 </searchLink><i>NLM ISO Abbreviation: </i>Intern Med <i>Subsets: </i>MEDLINE
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  Data: <i>Original Publication</i>: Tokyo, Japan : Japanese Society of Internal Medicine, [1992-
– Name: SubjectMESH
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  Data: <searchLink fieldCode="MM" term="%22Cellulitis%22">Cellulitis*</searchLink>/<searchLink fieldCode="MM" term="%22Cellulitis+microbiology%22">microbiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Cellulitis%22">Cellulitis*</searchLink>/<searchLink fieldCode="MM" term="%22Cellulitis+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Cellulitis%22">Cellulitis*</searchLink>/<searchLink fieldCode="MM" term="%22Cellulitis+drug+therapy%22">drug therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Campylobacter+fetus%22">Campylobacter fetus*</searchLink>/<searchLink fieldCode="MM" term="%22Campylobacter+fetus+isolation+%26+purification%22">isolation & purification</searchLink> <br /><searchLink fieldCode="MM" term="%22Campylobacter+Infections%22">Campylobacter Infections*</searchLink>/<searchLink fieldCode="MM" term="%22Campylobacter+Infections+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Campylobacter+Infections%22">Campylobacter Infections*</searchLink>/<searchLink fieldCode="MM" term="%22Campylobacter+Infections+drug+therapy%22">drug therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Campylobacter+Infections%22">Campylobacter Infections*</searchLink>/<searchLink fieldCode="MM" term="%22Campylobacter+Infections+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Campylobacter+Infections%22">Campylobacter Infections*</searchLink>/<searchLink fieldCode="MM" term="%22Campylobacter+Infections+microbiology%22">microbiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Bacteremia%22">Bacteremia*</searchLink>/<searchLink fieldCode="MM" term="%22Bacteremia+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Bacteremia%22">Bacteremia*</searchLink>/<searchLink fieldCode="MM" term="%22Bacteremia+drug+therapy%22">drug therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Bacteremia%22">Bacteremia*</searchLink>/<searchLink fieldCode="MM" term="%22Bacteremia+microbiology%22">microbiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Bacteremia%22">Bacteremia*</searchLink>/<searchLink fieldCode="MM" term="%22Bacteremia+complications%22">complications</searchLink><br /><searchLink fieldCode="MH" term="%22Anti-Bacterial+Agents%22">Anti-Bacterial Agents</searchLink>/<searchLink fieldCode="MH" term="%22Anti-Bacterial+Agents+therapeutic+use%22">therapeutic use</searchLink> ; <searchLink fieldCode="MH" term="%22Leg%22">Leg</searchLink>/<searchLink fieldCode="MH" term="%22Leg+microbiology%22">microbiology</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Aged%2C+80+and+over%22">Aged, 80 and over</searchLink> ; <searchLink fieldCode="MH" term="%22Immunocompetence%22">Immunocompetence</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Campylobacter fetus is a species of the Campylobacter genus that often causes bacteremia in immunocompromised patients. Although cellulitis due to C. fetus has been previously described, bilateral involvement is rare. We herein report the case of an 87-year-old woman without immunodeficiency, who presented with fever and bilateral leg pain. An examination showed inflammatory changes in both lower legs, and blood cultures showed the growth of C. fetus. Antimicrobial therapy was initiated with meropenem, de-escalated to ampicillin, and then switched to oral amoxicillin, which resulted in a clinical improvement. This case highlights that C. fetus can cause bacteremia and bilateral cellulitis, even in an immunocompetent adult, thereby underscoring the importance of blood cultures.
– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: <i>Keywords: </i>Campylobacter bacteremia; Campylobacter fetus; bilateral cellulitis
– Name: NumberCAS
  Label: Substance Nomenclature
  Group: ID
  Data: 0 (Anti-Bacterial Agents)
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  Data: <i>Date Created: </i>20260201 <i>Date Completed: </i>20260916 <i>Latest Revision: </i>20260918
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  Data: 10.2169/internalmedicine.6710-25
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  Data: 41621878
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=41621878
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        Value: 10.2169/internalmedicine.6710-25
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 2515
    Subjects:
      – SubjectFull: Anti-Bacterial Agents therapeutic use
        Type: general
      – SubjectFull: Leg microbiology
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Aged, 80 and over
        Type: general
      – SubjectFull: Immunocompetence
        Type: general
      – SubjectFull: Cellulitis microbiology
        Type: general
      – SubjectFull: Cellulitis diagnosis
        Type: general
      – SubjectFull: Cellulitis drug therapy
        Type: general
      – SubjectFull: Campylobacter fetus isolation & purification
        Type: general
      – SubjectFull: Campylobacter Infections diagnosis
        Type: general
      – SubjectFull: Campylobacter Infections drug therapy
        Type: general
      – SubjectFull: Campylobacter Infections complications
        Type: general
      – SubjectFull: Campylobacter Infections microbiology
        Type: general
      – SubjectFull: Bacteremia diagnosis
        Type: general
      – SubjectFull: Bacteremia drug therapy
        Type: general
      – SubjectFull: Bacteremia microbiology
        Type: general
      – SubjectFull: Bacteremia complications
        Type: general
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      – TitleFull: Campylobacter fetus Bacteremia Presenting with Bilateral Lower Leg Cellulitis in an Immunocompetent Adult.
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            – D: 15
              M: 09
              Text: 2026 Sep 15
              Type: published
              Y: 2026
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