title: Bloodstream infection caused by Campylobacter lari.
abstract: We describe a case of bloodstream infection (BSI) caused by Campylobacter lari in a 58-year-old man diagnosed with lumbar pyogenic spondylitis. Anaerobic blood cultures, taken on the day of admission and on hospital day 4, were positive after 30 h of incubation, although no bacteria were detected by Gram staining. After subculture on 5 % sheep blood agar for 2 days at 35 °C in a 5 % CO2 environment, capnophilic, curved, gram-negative bacteria were recovered. The bacteria were identified as C. lari using a combination of phenotypic identification methods and partial 16S rRNA gene sequencing. The BSI was eradicated following combination therapy with intravenous tazobactam/piperacillin, oral erythromycin, and sulfamethoxazole/trimethoprim. These results suggest that accurate identification, to the species level, is important to determine effective treatment of BSI caused by Campylobacter spp. and can help us to understand the epidemiology.
authors.affiliation: Division of Clinical Laboratory, Tottori University Hospital, 36-1, Nishi-cho, Yonago, Tottori, Japan. smorishita-ttr@umin.ac.jp
authors.forename: Shota
authors.initials: S
authors.lastname: Morishita
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Fujiwara
authors.forename: Hiromi
authors.initials: H
authors.lastname: Murota
authors.forename: Yumi
authors.initials: Y
authors.lastname: Maeda
authors.forename: Ayako
authors.initials: A
authors.lastname: Hara
authors.forename: Toshinobu
authors.initials: T
authors.lastname: Horii
mesh_terms: D016470:Bacteremia / Q000382:microbiology*; D002169:Campylobacter Infections / Q000097:blood*; D044863:Campylobacter lari / Q000235:genetics / Q000302:isolation & purification*; D005798:Genes, Bacterial; D006801:Humans; D008297:Male; D008875:Middle Aged; D058889:Molecular Typing; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D017423:Sequence Analysis, RNA
chemical_list: D012336:RNA, Ribosomal, 16S