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Seizures Associated With Campylobacter Enteritis

MOISES MALOWANY, MD; SHARON LEWIN, MD, FRCP; MARTIN GELLER, MD; JOHN KITTICK, MS; MELVIN GERTNER, MD; PETER NICHOLAS, MD, FACP
Am J Dis Child. 1982;136(11):1028. doi:10.1001/archpedi.1982.03970470072020.
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Campylobacter has been recognized recently as an important pathogen in humans,1 and enteritis due to Campylobacter jejuni (formerly Campylobacter fetus, subspecies jejuni) is a common illness, particularly among children. Fever, diarrhea, and abdominal pain are the most common clinical features. Complications of C jejuni enteritis have included appendicitis, arthritis, mesenteric adenitis, and peritonitis.2-5 To our knowledge, this is the first report of convulsions associated with C jejuni enteritis from this country.

Report of a Case.—A 5-year 5-month-old boy, previously healthy, had a focal motor seizure three hours after the onset of nausea and vomiting. A second seizure, which was generalized, occurred an hour later. He had a history of febrile upper respiratory tract infections, but had never previously had convulsions. Neither the patient's parents nor his 11-year-old brother had a history of seizures.

On admission, his rectal temperature was 37.4 °C. The patient was responsive only to

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