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Case Report: Helicobacter suis Infection in a Pig Veterinarian

2013; Wiley; Volume: 18; Issue: 5 Linguagem: Inglês

10.1111/hel.12054

1523-5378

Myrthe Joosten, Bram Flahou, Tom Meyns, Annemieke Smet, Joris Arts, Lien De Cooman, Frank Pasmans, Richard Ducatelle, Freddy Haesebrouck,

Gastrointestinal disorders and treatments

Abstract This study describes a non‐ H elicobacter (H.) pylori H elicobacter ( NHPH ) infection in a pig veterinarian. The patient suffered from reflux esophagitis and general dyspeptic symptoms and was referred to the hospital for upper gastrointestinal endoscopy. Histologic examination of corpus and antrum biopsies revealed a chronic gastritis. Large spiral‐shaped non‐ H . pylori helicobacters could be visualized and were identified as H . suis by PCR . The patient was treated with a triple therapy, consisting of amoxicillin, clarithromycin, and pantoprazole for 10 days. Successful eradication was confirmed after a follow‐up gastrointestinal endoscopy and PCR 10 weeks after treatment. A mild chronic gastritis was, however, still observed at this point in time. This case report associates porcine H . suis strains with gastric disease in humans, thus emphasizing the zoonotic importance of H . suis bacteria from pigs.