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a Department of Paediatrics and Child Health, b Department of Medical Microbiology,
University of Cape Town and Red Cross War Memorial Children's Hospital
Cape Town, South Africa
Correspondence to: Dr Andrew C Argent, Department of Paediatrics and Child Health, Institute of Child Health, Red Cross War Memorial Children's Hospital, Rondebosch 7700, South Africa.
Accepted 15 January 1997
Over a period of 15 months, 17 children were admitted to the
Red Cross War Memorial Children's Hospital (RCWMCH) in Cape Town with
Guillain-Barré syndrome. Stool specimens were collected from 14 children and campylobacter was isolated from nine. Six of the nine
isolates of Campylobacter jejuni were further identified as C jejuni biotype 2, serotype 0:41. This biotype 2, serotype 0:41 has been identified in only 12 of the 7119 campylobacter isolates at the RCWMCH over a 19 year period. Eight of the nine patients with campylobacter isolates and one of five with negative stool cultures required ventilation. Patients with C
jejuni biotype 2, serotype 0:41 were ventilated for a mean (SD)
of 33.5 (19.4) days, whereas patients with other campylobacter isolates
were ventilated for 17.3 (3.8) days. This is the first report of
campylobacters of serotype 0:41 in Guillain-Barré syndrome and could
reflect a geographical isolation of this strain.
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