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- Title
A horse and a zebra: an atypical clinical picture including Guillain-Barré syndrome, recurrent fever and mesenteric lymphadenopathy caused by two concomitant infections.
- Authors
Amereller, Felix; Lottspeich, Christian; Buchholz, Grete; Dichtl, Karl
- Abstract
Background: While Campylobacter jejuni represents the most common cause of bacterial gastroenteritis, Yersinia pseudotuberculosis infections are very rarely diagnosed in adults. Case: We report on a previously healthy patient who presented several times at our hospital with fever, Guillain-Barré syndrome, recurrent abdominal symptoms and distinct mesenteric lymphadenopathy, respectively. This complicated and diagnostically challenging course of disease was caused by a C. jejuni and Y. pseudotuberculosis coinfection. Antibiotic treatment with doxycycline was effective. Conclusion: Broad serology testing was crucial to discover that two concomitant infections were causing the symptoms. This case demonstrates that when a clinical picture is not fully explained by one known infection, another infection with the same underlying risk factor has to be considered, hence "a horse and a zebra".
- Subjects
LYMPHATIC disease diagnosis; CAMPYLOBACTER infections; FEVER; LYMPHATIC diseases; GUILLAIN-Barre syndrome; SERODIAGNOSIS; YERSINIA diseases; DISEASE relapse; DOXYCYCLINE; MIXED infections
- Publication
Infection, 2020, Vol 48, Issue 3, p471
- ISSN
0300-8126
- Publication type
Article
- DOI
10.1007/s15010-020-01397-5