Campylobacter jejuni in the stomach.
Campylobacter jejuni is the commonest cause of acute bacterial enteritis in the UK. However, in this case a 74-year-old lady underwent gastroscopy for an upper gastrointestinal haemorrhage and was noted to have a gastric ulcer. Gastric biopsy revealed spiral gram-negative bacteria and culture yielded a moderate growth of C. jejuni. Identification was confirmed by growth characteristics, biochemical tests and PCR amplification of the species-specific flagellin gene--fla A. To prevent misidentification, it is important that laboratories routinely culturing gastric biopsies for Helicobacter pylori should perform a rapid urease test and not rely solely on microscopic morphology.
Sahay
P
P
Scunthorpe General Hospital, South Humberside.
West
A P
AP
Birkenhead
D
D
Hawkey
P M
PM
D000368:Aged; D001706:Biopsy; D016123:Campylobacter jejuni / Q000235:genetics / Q000302:isolation & purification*; D004269:DNA, Bacterial / Q000032:analysis; D005260:Female; D005408:Flagellin / Q000235:genetics; D005773:Gastroscopy; D005798:Genes, Bacterial; D006801:Humans; D016133:Polymerase Chain Reaction; D013270:Stomach / Q000382:microbiology*; D013276:Stomach Ulcer / Q000382:microbiology*
D004269:DNA, Bacterial; D005408:Flagellin