Multicenter Retrospective Study of Vascular Infections and Endocarditis Caused by Campylobacter spp., France

The incidence of campylobacteriosis has substantially increased over the past decade, notably in France. Secondary localizations complicating invasive infections are poorly described. We aimed to describe vascular infection or endocarditis caused by Campylobacter spp. We included 57 patients from a...

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Published in:Emerging infectious diseases Vol. 29; no. 3; pp. 484 - 492
Main Authors: Tinévez, Claire, Lehours, Philippe, Ranc, Anne-Gaëlle, Belaroussi, Yaniss, Cazanave, Charles, Puges, Mathilde, Velardo, Fanny, Dubois, Damien, Neuwirth, Catherine, Pailhoriès, Hélène, Dorel, Marie, Hery-Arnaud, Genevieve, Join-Lambert, Olivier, Gras, Emmanuelle, Corvec, Stéphane, Codde, Cyrielle, Fournier, Damien, Boijout, Hugo, Doat, Violaine, Bouard, Leslie, Lagneaux, Anne-Sophie, Pichon, Maxime, Couzigou, Célia, Letellier, Claire, Lemaignen, Adrien, Bille, Emmanuelle, Bérard, Xavier, Caradu, Caroline, Webster, Claire, Neau, Didier
Format: Journal Article
Language:English
Published: United States U.S. National Center for Infectious Diseases 01-03-2023
Centers for Disease Control and Prevention
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Summary:The incidence of campylobacteriosis has substantially increased over the past decade, notably in France. Secondary localizations complicating invasive infections are poorly described. We aimed to describe vascular infection or endocarditis caused by Campylobacter spp. We included 57 patients from a nationwide 5-year retrospective study on Campylobacter spp. bacteremia conducted in France; 44 patients had vascular infections, 12 had endocarditis, and 1 had both conditions. Campylobacter fetus was the most frequently involved species (83%). Antibiotic treatment involved a β-lactam monotherapy (54%) or was combined with a fluoroquinolone or an aminoglycoside (44%). The mortality rate was 25%. Relapse occurred in 8% of cases and was associated with delayed initiation of an efficient antimicrobial therapy after the first symptoms, diabetes, and coexistence of an osteoarticular location. Cardiovascular Campylobacter spp. infections are associated with a high mortality rate. Systematically searching for those localizations in cases of C. fetus bacteremia may be warranted.
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ISSN:1080-6040
1080-6059
DOI:10.3201/eid2903.221417