Should all bacteraemia be treated? A case report of an immunocompetent patient with campylobacter upsaliensis bacteraemia

Microb Health Dis 2022; 4 (4): e808
DOI: 10.26355/mhd_202212_808

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Abstract

Introduction: Campylobacter upsaliensis is responsible for various infections and diseases and can cause bacteraemia in debilitated and immunocompromised patients. Here we report a case of an immunocompetent patient with C. upsaliensis bacteraemia.

Case Presentation: A 34-year-old immunocompetent man with no medical history presented with dizziness, weakness and epigastric pain. One out of 6 blood cultures returned positive after 70 hours of incubation. Campylobacter upsaliensis was identified by matrix-assisted laser desorption/ionisation time-of-flight (MALDI-TOF) mass spectrometry. As the clinical examination found no abnormalities, the patient did not receive antibiotic treatment. The outcome was spontaneously favourable. The route of infection remains unknown.

Conclusions: Campylobacter upsaliensis bacteraemia can occur in immunocompetent patients. In such cases, however, antibiotic treatment may not be necessary. This is an important finding in a context of growing antibiotic resistance.

To cite this article

Should all bacteraemia be treated? A case report of an immunocompetent patient with campylobacter upsaliensis bacteraemia

Microb Health Dis 2022; 4 (4): e808
DOI: 10.26355/mhd_202212_808

Publication History

Submission date: 15 May 2022

Revised on: 30 May 2022

Accepted on: 22 Jul 2022

Published online: 07 Dec 2022