曲狀桿菌腸炎為已開發國家中一種相當重要的感染性腸炎。向民國70年1月至民國73年11月,四年中,臺大醫院小兒科共收集了14個空腸曲狀桿菌(Campylobacter jejuni)腸炎的病例。所有病人的年齡均在5歲以下,其中2歲以下者約占80%。空腸曲狀桿菌腸炎的發生以秋季最多,64.3%發生於9月至之間。空腸曲狀桿菌最常見的臨床症狀為發燒、腹瀉、烘便帶血絲及粘液、嘔吐等。大多數菌種均對紅黴素、氯黴素有感受性而對頭孢芽菌素有抗藥性。本文同時對相關的文獻作一回顧。
Campylobacter enteritis is an important gastrointestinal infection in developed countries. Campylobacter jejuni was isolated from 14 infants and children seen at the Department of Pediatrics, National Taiwan University Hospital in recent 4 years. It occurs throughout the year, but most cases are seen between September and November. All patients were younger than 5 years, and eighty percent of the afflicted children were 2 years old or younger. The usual clinical presentations of Campylobacter enteritis are fever, abdominal pain, mucoid and blood-tinged stool and vomiting. Antibiotic susceptibility data revealed that Campylobacter jejuni is usually sensitive to erythromycin and chloramphenicol, variably sensitive to ampicillin, amikacin, kanamycin and colistin and resistant to a number of cephalosporins. The historical background and current knowledge of Campylobacter enteritis are also reviewed in this paper.