Journal Journal of Pediatric Infectious Diseases, Publisher IOS Press, ISSN 1305-7707 (Print), 1305-7693 (Online), Issue Volume 5, Number 2 / 2010, DOI 10.3233/JPI-2010-0234, Pages 199-201
Arnon Broides1, Raffi Lev-Tzion1, Eugene Leibovitz2
1Department of Pediatric Emergency Medicine, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel 2Pediatric Infectious Disease Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
We present a case of a child with generalized convulsions and dysentery caused by Campylobacter jejunii and review the pediatric literature published on this topic. Our case, as well as previous reports, suggests that in a child with convulsions and dysentery, the differential diagnosis should include shigellosis and also Campylobacter spp. infection. Because azithromycin provides appropriate coverage for both etiologies and in light of the present case, we suggest that it be considered in addition to parenteral ceftriaxone in severe cases of dysentery with or without convulsions.