Campylobacter fetus Bacteremia with Purulent Pleurisy in a Young Adult with Primary Hypogammaglobulinemia

Keiko Yamagami; Tomoko Miyashita; Tomoyuki Nakamura; Michinori Shirano; Tadahiro Nakamura; Kazuaki Kameda; Masayoshi Nishijima; Masahiro Imanishi; Xi Yang; Hirokazu Kanegane

doi:10.2169/internalmedicine.53.1622

CASE REPORTS

Campylobacter fetus Bacteremia with Purulent Pleurisy in a Young Adult with Primary Hypogammaglobulinemia

Keiko Yamagami, Tomoko Miyashita, Tomoyuki Nakamura, Michinori Shirano, Tadahiro Nakamura, Kazuaki Kameda, Masayoshi Nishijima, Masahiro Imanishi, Xi Yang, Hirokazu Kanegane

Author information

Keiko Yamagami
Department of Internal Medicine, Osaka City General Hospital, Japan
Tomoko Miyashita
Department of Internal Medicine, Osaka City General Hospital, Japan
Tomoyuki Nakamura
Department of Internal Medicine, Osaka City General Hospital, Japan
Michinori Shirano
Department of Infectious Disease, Osaka City General Hospital, Japan
Tadahiro Nakamura
Department of Infectious Disease, Osaka City General Hospital, Japan
Kazuaki Kameda
Department of Infectious Disease, Osaka City General Hospital, Japan
Masayoshi Nishijima
Department of Pulmonary Disease, Osaka City General Hospital, Japan
Masahiro Imanishi
Department of Internal Medicine, Osaka City General Hospital, Japan
Xi Yang
Department of Pediatrics, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Japan
Hirokazu Kanegane
Department of Pediatrics, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Japan

Keywords: Campylobacter fetus bacteremia, purulent pleurisy, hypogammaglobulinemia

JOURNAL OPEN ACCESS

2014 Volume 53 Issue 11 Pages 1221-1225

DOI https://doi.org/10.2169/internalmedicine.53.1622

Details

Abstract

A 24-year-old man presented with fever and pleural effusion predominantly containing lymphocytes. Cultures of the pleural effusion and blood revealed Campylobacter fetus, and laboratory studies showed a low serum level of immunoglobulin. The patient was diagnosed with C. fetus pleuritis, bacteremia and primary hypogammaglobulinemia, and subsequent treatment with meropenem and immunoglobulin improved his condition. Although the underlying cause of the primary hypogammaglobulinemia remains unclear, the patient's status improved under immunoglobulin replacement therapy. C. fetus pleuritis is a rare infectious disease usually observed in immunocompromised hosts. We herein describe the first report of C. fetus pleuritis in a young adult with primary hypogammaglobulinemia.

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