{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:19:38Z","timestamp":1790288378864,"version":"4.1.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,18]]},"abstract":"A 66-year-old woman presented with 2\u2009days of fever and severe diarrhoea. She has a history of ulcerative colitis (UC), well controlled with medication. She also has a history of Ehlers-Danlos syndrome, infective endocarditis following aortic valve replacement and pulmonary embolism. She had complained of passing stool with traces of blood about 30 times per day. Stool testing for Clostridium difficile,<\/jats:italic> routine culture and microscopy was done. She was started on ceftriaxone. CT scan revealed thick-walled colon consistent with UC flare. Flexible sigmoidoscopy showed active continuous colitis extending from the rectum to the proximal descending colon. Campylobacter jejuni<\/jats:italic> was isolated from the stool and blood cultures yielded Pseudomonas aeruginosa.<\/jats:italic> The antibiotic was transitioned to intravenous piperacillin\/tazobactam and azithromycin followed by 2\u2009weeks of intravenous cefepime. Her diarrhoea was controlled, and she was discharged for follow-up in 2\u2009months.<\/jats:p>","DOI":"10.1136\/bcr-2018-224941","type":"journal-article","created":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T01:55:16Z","timestamp":1528336516000},"page":"bcr-2018-224941","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Campylobacter jejuni<\/i> and Pseudomonas<\/i> coinfection in the setting of ulcerative colitis"],"prefix":"10.1136","volume":"2018","author":[{"given":"John Paul","family":"Iguidbashian","sequence":"first","affiliation":[{"name":"CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9958-6931","authenticated-orcid":false,"given":"Jai D","family":"Parekh","sequence":"additional","affiliation":[{"name":"Internal Medicine, CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Kukrety","sequence":"additional","affiliation":[{"name":"Internal Medicine, CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkata Giri","family":"Andukuri","sequence":"additional","affiliation":[{"name":"Internal Medicine, CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,6,6]]},"reference":[{"key":"2025082801004341000_2018.jun06_1.bcr-2018-224941.1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpgi.00193.2009"},{"key":"2025082801004341000_2018.jun06_1.bcr-2018-224941.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-003-0031-7"},{"key":"2025082801004341000_2018.jun06_1.bcr-2018-224941.3","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.hrtlng.2004.10.003","article-title":"Campylobacter jejuni pancolitis mimicking idiopathic ulcerative colitis","volume":"34","author":"Siegal","year":"2005","journal-title":"Heart Lung"},{"key":"2025082801004341000_2018.jun06_1.bcr-2018-224941.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00508-013-0471-7"},{"key":"2025082801004341000_2018.jun06_1.bcr-2018-224941.5","first-page":"287","article-title":"Risk factors and clinical implication of superimposed Campylobacter jejuni infection in patients with underlying ulcerative colitis","volume":"4","author":"Arora","year":"2016","journal-title":"Gastroenterol Rep"},{"key":"2025082801004341000_2018.jun06_1.bcr-2018-224941.6","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.01532-10"},{"key":"2025082801004341000_2018.jun06_1.bcr-2018-224941.7","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1159\/000236042","article-title":"Ulcerative colitis with multidrug-resistant Pseudomonas aeruginosa infection successfully treated with bifidobacterium","volume":"81","author":"Nagasaki","year":"2010","journal-title":"Digestion"},{"key":"2025082801004341000_2018.jun06_1.bcr-2018-224941.8","first-page":"S174","article-title":"Inflammatory bowel disease and Aeromonas infection: a commensal or an initiating or a causative agent?","volume":"98","author":"Jessica","year":"2003","journal-title":"The American J of Gastroenterology"},{"key":"2025082801004341000_2018.jun06_1.bcr-2018-224941.9","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/MIB.0000000000000247","article-title":"Aeromonas species: an opportunistic enteropathogen in patients with inflammatory bowel diseases? A single center cohort study","volume":"21","author":"Lobat\u00f3n","year":"2015","journal-title":"Inflamm Bowel Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224941","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:00:48Z","timestamp":1756368048000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224941"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,6]]},"references-count":9,"alternative-id":["10.1136\/bcr-2018-224941"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224941","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,6]]}}}