Prosthetic hip infection and bacteremia due to Campylobacter jejuni in a patient with AIDS.
Campylobacter jejuni is a common enteric pathogen in healthy individuals and in patients with AIDS. It usually causes a self-limited diarrheal illness with fever and abdominal pain. We report what we believe is a unique case of C. jejuni osteomyelitis in a 60-year-old man who had hemophilia A, AIDS, and a hip prosthesis. He presented to the hospital with a 4-day history of fever and diarrhea and a 1-day history of hip pain. Findings on plain films and a bone scan were suggestive of osteomyelitis in the proximal femur. Cultures of blood and a hip aspirate yielded C. jejuni.
Peterson
M C
MC
Department of Medicine, School of Medicine, West Virginia University Health Sciences Center, Morgantown.
Farr
R W
RW
Castiglia
M
M
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000382:microbiology*; D016470:Bacteremia / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D002169:Campylobacter Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D016123:Campylobacter jejuni / Q000302:isolation & purification; D002939:Ciprofloxacin / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004917:Erythromycin / Q000627:therapeutic use; D005839:Gentamicins / Q000627:therapeutic use; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D016459:Prosthesis-Related Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*
D005839:Gentamicins; D002939:Ciprofloxacin; D004917:Erythromycin