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November 7, 1986

Campylobacter Urinary Tract Infection: Value of the Urine Gram's Stain

Author Affiliations

From the Departments of Pediatrics (Dr Feder) and Family Medicine (Drs Feder and Rodriguez), University of Connecticut Medical Center, Farmington; and the Department of Pediatrics, Hartford (Conn) Hospital (Dr Rasoulpour).

JAMA. 1986;256(17):2389. doi:10.1001/jama.1986.03380170105029

CAMPYLOBACTER jejuni is a microaerophilic, curved to spiral, gram-negative bacillus. A frequent cause of bacterial diarrhea, C jejuni also causes extraintestinal infections that include sepsis, meningitis, pneumonia, cholecystitis, peritonitis, and prostatitis.1-3 We report a case of C jejuni urinary tract infection (UTI).

Report of a Case  A 6-year-old girl presented to the Hartford (Conn) Hospital pediatric ambulatory care center with a threeday history of urinary frequency and incontinence. Her urine was described as cloudy and foul smelling. She had had no episodes of diarrhea. Her medical history was significant for multiple symptomatic UTIs that began at 15 months of age. At that time, radiologic studies showed a complete ureteral duplication on the right and bilateral vesicoureteral reflux. At 4 years of age, she underwent bilateral ureteral reimplantations. After surgery, she was asymptomatic until the present episode.On physical examination, she was afebrile and appeared well. She had neither costovertebral