title: Campylobacter bacteremia in hemodialysis patients by eating raw meat - the importance of sanitary education.
abstract: In 2011, simultaneous, widespread outbreaks of food poisoning by contaminated enterohemorrhagic Escherichia coli in beef, which killed four and hospitalized more than 30 people, occurred in Japan. While the press was widely reporting this disaster, two maintenance hemodialysis patients were suffering from Campylobacter bacteremia by eating undercooked meat. One patient was infected with C. upsaliensis and the other with C. fetus. Although these patients could be successfully treated, they led us to consider the characteristics of C. upsaliensis and C. fetus as opportunistic pathogens, as well as changes in dietary behaviors and food markets. Moreover, they emphasized the need for hemodialysis patients to be not only educated in that they should restrict potassium, phosphate and water intake, but also that they should take care of food sanitation.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, Tokyo, Japan.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Shimizu
authors.forename: Arisa
authors.initials: A
authors.lastname: Ishii
authors.forename: Akiko
authors.initials: A
authors.lastname: Takahata
authors.forename: Tadahiro
authors.initials: T
authors.lastname: Kajiyama
authors.forename: Aya
authors.initials: A
authors.lastname: Yamahatsu
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Io
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kurusu
authors.forename: Chieko
authors.initials: C
authors.lastname: Hamada
authors.forename: Satoshi
authors.initials: S
authors.lastname: Horikoshi
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Tomino