title: Helicobacter cinaedi bacteraemia: varied clinical manifestations in three homosexual males.
abstract: We report 3 cases of Helicobacter cinaedi bacteraemia in different hosts representing a spectrum of clinical illness associated with this infection. The first was an AIDS patient with relapsing H. cinaedi bacteraemia despite antibiotic treatment. The second was an HIV seronegative homosexual man with end-stage renal failure, receiving haemodialysis and a previous history of chronic lymphoedema of his legs. He developed H. cinaedi bacteraemia with cellulitis of his left leg. Patient 3, an HIV seronegative homosexual man, had transient H. cinaedi bacteraemia 2 days after the completion of a course of chemotherapy for bilateral testicular carcinoma. The clinical spectrum of disease associated with H. cinaedi is broad, with few specific clinical features. Successful recovery of this fastidious organism from blood aids in the diagnosis of this unusual infection.
authors.affiliation: Victorian Infectious Diseases Reference Laboratory, Fairfield Hospital, Australia.
authors.forename: W
authors.initials: W
authors.lastname: Tee
authors.forename: A C
authors.initials: AC
authors.lastname: Street
authors.forename: D
authors.initials: D
authors.lastname: Spelman
authors.forename: W
authors.initials: W
authors.lastname: Munckhof
authors.forename: A
authors.initials: A
authors.lastname: Mijch
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D017809:Fatal Outcome; D018023:HIV Seronegativity; D016998:Helicobacter / Q000187:drug effects / Q000302:isolation & purification*; D016481:Helicobacter Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D018451:Homosexuality, Male; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008826:Microbial Sensitivity Tests; D013736:Testicular Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents