Affiliations: Department of Pediatric Emergency Medicine, Soroka
University Medical Center, Faculty of Health Sciences, Ben-Gurion University of
the Negev, Beer-Sheva, Israel | Pediatric Infectious Disease Unit, Soroka University
Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev,
Beer-Sheva, Israel
Note: [] Correspondence: Dr. Arnon Broides, MD, Department of Pediatric
Emergency Medicine, Soroka University Medical Center, Faculty of Health
Sciences, Ben-Gurion University of the Negev, POB 151, 84101, Beer-Sheva,
Israel. Tel.: +972 8 6400140; Fax: +972 8 6403340; E-mail: broides@bgu.ac.il
Abstract: We present a case of a child with generalized convulsions and
dysentery caused by Campylobacter jejunii and review the pediatric
literature published on this topic. Our case, as well as previous reports,
suggests that in a child with convulsions and dysentery, the differential
diagnosis should include shigellosis and also Campylobacter spp.
infection. Because azithromycin provides appropriate coverage for both
etiologies and in light of the present case, we suggest that it be considered
in addition to parenteral ceftriaxone in severe cases of dysentery with or
without convulsions.