RESEARCH ARTICLE


A Case of Helicobacter cinaedi Bacteraemia in a Previously Healthy Person with Cellulitis



Helle Holst1, Keld Andresen1, Jens Blom2, Niels Højlyng3, Michael Kemp1, Karen Angeliki Krogfelt1, Jens Jørgen Christensen*, 1
1 Department of Bacteriology, Mycology and Parasitology
2 Department of Virology, Statens Serum Institut
3 Infectious Diseases Unit, Medical Department, Roskilde University hospital; Copenhagen, Denmark


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Creative Commons License
2008 Bentham Science Publishers Ltd

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/), which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Department of Bacteriology, Mycology and Parasitology, Statens Serum Institut, 2300-Copenhagen, Denmark; Tel: +4532683572; E-mail: jjc@ssi.dk


Abstract

Helicobacter cinaedi is an infrequent, but well recognized cause of gastroenteritis in immunosuppressed patients. Here we report a case of an extra-intestinal infection in a previous healthy 61-year old heterosexual male. Focus for the infection was most likely cellulitis on the lower right leg. The bacterium was cultured from blood twice within one week. Electron microscopy of the isolate visualized bipolar flagella. Partial DNA sequencing of the 16S rRNA gene and phenotypic characterization of the isolate established the species diagnosis. The patient was treated with rifampicin. After end of treatment blood cultures were negative and the cellulitis had disappeared.

Keywords: Helicobacter cinaedi, heterosexual, xtra-intestinal setting, infection, PCR.