title: Campylobacter fetus bacteremia with purulent pleurisy in a young adult with primary hypogammaglobulinemia.
abstract: A 24-year-old man presented with fever and pleural effusion predominantly containing lymphocytes. Cultures of the pleural effusion and blood revealed Campylobacter fetus, and laboratory studies showed a low serum level of immunoglobulin. The patient was diagnosed with C. fetus pleuritis, bacteremia and primary hypogammaglobulinemia, and subsequent treatment with meropenem and immunoglobulin improved his condition. Although the underlying cause of the primary hypogammaglobulinemia remains unclear, the patient's status improved under immunoglobulin replacement therapy. C. fetus pleuritis is a rare infectious disease usually observed in immunocompromised hosts. We herein describe the first report of C. fetus pleuritis in a young adult with primary hypogammaglobulinemia.
authors.affiliation: Department of Internal Medicine, Osaka City General Hospital, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Yamagami
authors.forename: Tomoko
authors.initials: T
authors.lastname: Miyashita
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Nakamura
authors.forename: Michinori
authors.initials: M
authors.lastname: Shirano
authors.forename: Tadahiro
authors.initials: T
authors.lastname: Nakamura
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Kameda
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Nishijima
authors.forename: Masahiro
authors.initials: M
authors.lastname: Imanishi
authors.forename: Xi
authors.initials: X
authors.lastname: Yang
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Kanegane
mesh_terms: D000361:Agammaglobulinemia / Q000150:complications*; D016470:Bacteremia / Q000209:etiology; D002169:Campylobacter Infections / Q000209:etiology*; D002168:Campylobacter fetus / Q000302:isolation & purification; D016724:Empyema, Pleural / Q000209:etiology; D006801:Humans; D007116:Immunization, Passive; D016867:Immunocompromised Host; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D000077731:Meropenem; D010996:Pleural Effusion / Q000382:microbiology; D010998:Pleurisy / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013845:Thienamycins / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D013845:Thienamycins; D000077731:Meropenem