Campylobacter jejuni infection associated with miscarriage, a case report and literature review

J Reprod Immunol. 2020 Sep:141:103153. doi: 10.1016/j.jri.2020.103153. Epub 2020 May 26.

Abstract

Campylobacter jejuni is recognized as a cause of miscarriage in animals, but rarely in humans. We describe here a case of spontaneous miscarriage at 12 weeks of gestation associated with Campylobacter jejuni bacteremia following digestive disorders. The patient was treated with azithromycin with good clinical evolution and underwent uterine aspiration during hospitalization. In our review of the literature, we found only 12 other miscarriages due to C. jejuni infections. Clinicians should consider this cause of miscarriage in febrile pregnant women, as the bacterium is resistant to many beta-lactam antibiotics, and macrolides are the first-line treatment.

Keywords: Campylobacter jejuni; Diarrhea; Miscarriage.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abortion, Spontaneous / immunology*
  • Abortion, Spontaneous / microbiology
  • Adult
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / complications*
  • Bacteremia / drug therapy
  • Bacteremia / immunology
  • Bacteremia / microbiology
  • Campylobacter Infections / complications*
  • Campylobacter Infections / drug therapy
  • Campylobacter Infections / immunology
  • Campylobacter Infections / microbiology
  • Campylobacter jejuni / immunology
  • Campylobacter jejuni / isolation & purification
  • Drug Resistance, Bacterial
  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnosis
  • Pregnancy Complications, Infectious / drug therapy
  • Pregnancy Complications, Infectious / immunology*
  • Pregnancy Complications, Infectious / microbiology

Substances

  • Anti-Bacterial Agents