The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Helicobacter cinaedi–Associated Bacteremia and Cellulitis in Immunocompromised Patients

Julia A. Kiehlbauch, PhD; Robert V. Tauxe, MD; Carolyn N. Baker, BS; and I. Kaye Wachsmuth, PhD
[+] Article, Author, and Disclosure Information

From the Centers for Disease Control and Prevention, Atlanta, Georgia. Requests for Reprints: Julia A. Kiehlbauch, PhD, Centers for Disease Control and Prevention, Foodborne and Diarrheal Diseases Branch, Mailstop CO3, Atlanta, GA 30333. Acknowledgments: The authors thank Gretchen Anderson, MPH, for supplying information about patients included in this study and Fred Tenover, PhD, for his advice. Grant Support: This work was done while Dr. Kiehlbauch held a National Research Council-Centers for Disease Control Research Associateship.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1994;121(2):90-93. doi:10.7326/0003-4819-121-2-199407150-00002
Text Size: A A A

Objective: To define the clinical spectrum of illness associated with Helicobacter cinaedi infection in the United States and to determine associated epidemiologic risk factors and optimal laboratory methods for recovery of H. cinaedi.

Design: A retrospective epidemiologic study of 23 patients with H. cinaedi–associated illness.

Patients: 23 patients with H. cinaedi infection identified between January 1982 and August 1990. Most isolates (22 of 23) were from blood; one was from stool.

Results: Ages ranged from 24 to 84 years (mean, 44 years). Eighty-three percent of patients were men; 17% were women. Clinical and laboratory data were obtained from 21 patients. Eighteen patients were febrile (15 required hospitalization); cellulitis was reported in 9 patients. Sixty percent were immunocompromised; 45% were reported to be seropositive for human immunodeficiency virus (HIV). For bacteremic patients, positive blood cultures were detected by a slightly elevated growth index in an automated blood culture system; many hospital laboratories had difficulty isolating the organism.

Conclusions: Helicobacter cinaedi appears to cause recurrent cellulitis with fever and bacteremia in immunocompromised hosts. Blood cultures from immunocompromised patients with these symptoms may need special handling to isolate H. cinaedi.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Journal Club
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.