Campylobacter jejuni

(Redirected from Campylobacter)


Clinical Features

  • Acute diarrheal illness (<3 weeks)
  • Severe abdominal pain
  • Fever
  • Bloody/voluminous/purulent stools
  • Systemic illness/symptoms

Differential Diagnosis

Acute diarrhea



Watery Diarrhea

Traveler's Diarrhea


Not every patient with fever and diarrhea requires work-up - use clinical judgement

  • Consider work-up for patient with:
    • Fever
    • Toxic appearance
    • Diarrhea lasting >3 days
    • Blood or pus in stool
    • Immunocompromised patients with presumed infectious diarrhea
  • Bacterial stool culture
  • Stool ova and parasites if concern for parasitic infection
  • Consider C. difficile PCR if patient has risk factors


  • Fluid resuscitation - oral rehydration therapy preferred
  • Avoid antimotility agents with bloody diarrhea
  • Many recover without antimicrobial therapy
  • Antibiotics if severe illness:


  • Most patients can be discharged
  • Admit for rehydration in those with severe illness/inability to tolerate PO

See Also

External Links


  1. U.S. Dept of Health and Human Services. Campylobacter.
  2. Marx et al. “Cholera and Gastroenteritis caused by Noncholera Vibrio Species”. Rosen’s Emergency Medicine 8th edition vol 1 pg 1245-1246.
  4. CDC. Campylobacter (Campylobacteriosis) - Antibiotic resistance. Last modified October 2, 2017.