First finding of Ciprofloxacin Resistant Campylobacter jejuni Bacteremia from an infant with biliary atresia in Surabaya, Indonesia

Here we present a case of an infant with biliary atresia with bacteremia caused by Ciprofloxacin resistant C. jejuni. An eight-month-old boy - previously diagnosed with inoperable biliary atresia, was referred with fever. The isolated bacteria was identified as Campylobacter jejuni ssp. jejuni. This isolate was resistant to Ciprofloxacin using disk diffusion. From our investigation during the patient’s home visit, there were several chicken and bird coops within 20 meters radius all around the patient’s house, contributing to the risk of infection. In this case, a severe infection of Campylobacter jejuni might be promoted by biliary atresia and hepatic failure.