Campylobacter fetus-induced cellulitis in a Crohn's disease patient under anti- TNFalpha maintenance therapy

A 54-year-old female patient presented to the emergency department with a tender and swollen left leg, subsequent to a fall. Shortly after, she had developed fever with shivering. Her medical history included type 2 diabetes, Crohn's disease for 40 years, obesity and alcoholic liver cirrhosis. For the Crohn's disease, she was treated with azathioprine (2,5 mg/kg once daily) and anti- TNFalpha therapy (infliximab 5 mg/kg every 4 weeks, based on trough l335evels) for several years. A week before admission she suffered from nausea, vomitus and diarrhea. The patient had no recent history of travelling, nor of eating improperly cooked meat or unpasteurized milk.