RT info:eu-repo/semantics/article T1 Genomic Characterization of Campylobacter jejuni Associated with Perimyocarditis: A Family Case Report A1 Ortega Sanz, Irene A1 García, Marcial . A1 Bocigas, Carolina A1 Megías, Gregoria A1 Melero Gil, Beatriz A1 Rovira Carballido, Jordi K1 Campylobacteriosis K1 Perimyocarditis K1 Clinical case K1 Phase variation K1 Virulence genes K1 Antimicrobial resistance genes K1 Microbiología K1 Microbiology K1 Enfermedades de origen alimentario K1 Foodborne diseases AB Campylobacter spp. is the leading cause of foodborne gastrointestinal infections in humans worldwide. This study reports the first case of four family members who had contact with the same source of Campylobacter jejuni contamination with different results. Only the little siblings were infected by the same C. jejuni strain, but with different symptoms. Whereas the daughter was slightly affected with mild enteritis, the son suffered a longer campylobacteriosis followed with a perimyocarditis. This is the first case of the youngest patient affected by C. jejuni-related perimyocarditis published to date. The genomes of both strains were characterized by whole-genome sequencing and compared with the C. jejuni NCTC 11168 genome to gain insights into the molecular features that may be associated with perimyocarditis. Various comparison tools were used for the comparative genomics analysis, including the identification of virulence and antimicrobial resistance genes, phase variable (PV) genes, and single nucleotide polymorphisms (SNPs) identification. Comparisons of the strains identified 16 SNPs between them, which constituted small but significant changes mainly affecting the ON/OFF state of PV genes after passing through both hosts. These results suggest that PV occurs during human colonization, which modulates bacteria virulence through human host adaptation, which ultimately is related to complications after a campylobacteriosis episode depending on the host status. The findings highlight the importance of the relation between host and pathogen in severe complications of Campylobacter infections. PB SAGE Publications SN 1535-3141 YR 2023 FD 2023-08 LK https://hdl.handle.net/10259/11268 UL https://hdl.handle.net/10259/11268 LA eng NO The project leading to these results has received funding from “La Caixa” Foundation and Caja Burgos Foundation, under agreement LCF/PR/PR18/51130007. I.O.-S. received a predoctoral grant from the Junta of Castile and León, cofinanced by the Ministry of Education of the Government of Castile and León and the European Social Fund. DS Repositorio Institucional de la Universidad de Burgos RD 21-abr-2026