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Rheumatology Advance Access originally published online on April 16, 2003
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Rheumatology 2003; 42: 1083-1088
© 2003 British Society for Rheumatology

Health problems following Campylobacter jejuni enteritis in a Lancashire population

S. Zia, D. Wareing1, C. Sutton, E. Bolton1, D. Mitchell2 and J. A. Goodacre

Consortium for Campylobacter Clinical and Molecular Research, Lancashire Postgraduate School of Medicine and Health, University of Central Lancashire,
1 Public Health Laboratory, Royal Preston Hospital and
2 Department of Neurology, Lancashire Teaching Hospitals NHS Trust, Preston, UK

Objectives. Campylobacter jejuni enteritis can lead to musculoskeletal, neuropathic or other health sequelae. We investigated the coexistence, seasonal occurrence, strain-type associations and impact on work capacity of different health problems following C. jejuni enteritis in a Lancashire population during 1999 and 2001.

Methods. A semistructured questionnaire was used to characterize health problems that occurred in the community after laboratory-confirmed episodes of C. jejuni enteritis. The questionnaire was posted to all adults in the Preston and Chorley area who developed C. jejuni enteritis in 1999 or 2001. All Campylobacter isolates from this population were serotyped.

Results. Several types of sequelae occurred consistently in both years, including the coexistence of musculoskeletal and neuropathic problems. There was no evidence of C. jejuni strain-type associations or seasonal preponderance for any type of sequela. The overall health impact of C. jejuni enteritis, as measured by workdays lost, was high in this population.

Conclusions. A variety of health problems occur consistently following C. jejuni enteritis and substantially increase morbidity due to campylobacteriosis in the community.

KEY WORDS: Campylobacter jejuni, Enteritis, Health sequelae.

Correspondence to: J. Goodacre. E-mail: jagoodacre{at}uclan.ac.uk


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