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Tapio Pitkänen, MD; Antti Pönkä, MD; Tor Pettersson, MD; Timo U. Kosunen, MD

Arch Intern Med. 1983;143(2):215-219.

Abstract
• The clinical picture and epidemiologic characteristics of infection due to Campylobacter fetus subspecies jejuni were studied in 188 patients hospitalized in Finland during a three-year period. All but two patients had diarrhea; 90% had abdominal pain, fever, and fatigue; half had vomiting and headache; one third experienced electrolyte disturbances; and one fifth of the patients had other complications, most commonly pancreatitis (6%) and arthritis (5%). All age groups were affected, most usually those who were 0 to 9 years old and 20 to 29 years old. The incidence of domestic cases increased during the summer months. With only three exceptions (1.3%), all jejuni strains were sensitive to erythromycin. Among Finns who visited ten popular tourist countries, the incidence of hospitalized C jejuni enteritis cases varied from 0 to 63 per 100,000 travelers.

(Arch Intern Med 1983;143:215-219)

Author Affiliations
From the Department of Medicine and Tropical Diseases, Aurora Municipal Hospital, Helsinki (Drs Pitkänen, Pönkä, and Pettersson); and the Department of Bacteriology and Immunology, University of Helsinki (Dr Kosunen).

Footnotes
Accepted for publication Aug 25, 1982.

Read in part before the eighth International Congress of Infectious and Parasitic Diseases, Stockholm, June 7,1982.

Reprint requests to the Department of Medicine and Tropical Diseases, Aurora Municipal Hospital, Nordenskiöldinkatu 20-SF-00250 Helsinki 25, Finland (Dr Pitkänen).

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