Department of Gastroenterology and Hepatology, Tokyo Medical University, Japan.
Department of Infection Prevention and Control, Tokyo Medical University, Japan.
Intern Med. 2021 Dec 1;60(23):3737-3741. doi: 10.2169/internalmedicine.7380-21. Epub 2021 May 22.
Campylobacter jejuni is common cause of enteritis, but biliary infection rarely reported. An 82-year-old woman with pancreatic head cancer underwent endoscopic biliary drainage for malignant biliary obstruction. She was subsequently admitted for management of diarrhea. C. jejuni was identified in stool culture. Her symptoms resolved temporarily without antibiotics but flared up with a fever a few days later. She was diagnosed with acute cholangitis and bacteremia with C. jejuni. Endoscopic biliary drainage and antimicrobial administration improved her symptoms. As complications of C. jejuni diarrhea are rare, antibiotics are not necessarily indicated but sometimes are needed to prevent complications.
空肠弯曲菌是肠炎的常见病因，但胆道感染很少见报道。一位 82 岁女性因胰头癌行内镜下胆道引流术以治疗恶性胆道梗阻，后因腹泻入院治疗。粪便培养发现空肠弯曲菌。患者未使用抗生素，腹泻症状暂时缓解，但几天后出现发热，症状再次加重。患者被诊断为急性胆管炎和空肠弯曲菌菌血症。经内镜下胆道引流和抗菌药物治疗后，患者症状改善。由于空肠弯曲菌性腹泻的并发症罕见，并非一定需要使用抗生素，但有时为了预防并发症，抗生素也是必要的。
