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Campylobacter 0:41 isolation in Guillain-Barré syndrome
  1. E A Goddarda,
  2. A J Lastovicab,
  3. A C Argenta
  1. aDepartment of Paediatrics and Child Health, bDepartment of Medical Microbiology, University of Cape Town and Red Cross War Memorial Children’s Hospital Cape Town, South Africa
  1. Dr Andrew C Argent, Department of Paediatrics and Child Health, Institute of Child Health, Red Cross War Memorial Children’s Hospital, Rondebosch 7700, South Africa.

Abstract

Over a period of 15 months, 17 children were admitted to the Red Cross War Memorial Children’s Hospital (RCWMCH) in Cape Town with Guillain-Barré syndrome. Stool specimens were collected from 14 children and campylobacter was isolated from nine. Six of the nine isolates of Campylobacter jejuni were further identified as C jejuni biotype 2, serotype 0:41. This biotype 2, serotype 0:41 has been identified in only 12 of the 7119 campylobacter isolates at the RCWMCH over a 19 year period. Eight of the nine patients with campylobacter isolates and one of five with negative stool cultures required ventilation. Patients with C jejuni biotype 2, serotype 0:41 were ventilated for a mean (SD) of 33.5 (19.4) days, whereas patients with other campylobacter isolates were ventilated for 17.3 (3.8) days. This is the first report of campylobacters of serotype 0:41 in Guillain-Barré syndrome and could reflect a geographical isolation of this strain.

  • Guillain-Barré syndrome
  • Campylobacter jejuni

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