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Helicobacter pylori infection

Helicobacter pylori
Synonym Campylobacter pylori
staining of H. pylori from a gastric biopsy
Pronunciation
Specialty Infectious disease, gastroenterology
Symptoms None, abdominal pain, nausea
Causes Helicobacter pylori spread by fecal oral route
Diagnostic method Urea breath test, fecal antigen assay, tissue biopsy
Medication Proton pump inhibitor, clarithromycin, amoxicillin, metronidazole
Frequency >50%
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Helicobacter pylori
EMpylori.jpg
Scientific classification
Domain: Bacteria
Phylum: Proteobacteria
Class: Epsilonproteobacteria
Order: Campylobacterales
Family: Helicobacteraceae
Genus: Helicobacter
Species: H. pylori
Binomial name
Helicobacter pylori
(Marshall et al. 1985) Goodwin et al., 1989
Classification
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External resources

Helicobacter pylori, previously Campylobacter pylori, is a gram-negative, microaerophilic bacterium found usually in the stomach. It was identified in 1982 by Australian scientists Barry Marshall and Robin Warren, who found that it was present in a person with chronic gastritis and gastric ulcers, conditions not previously believed to have a microbial cause. It is also linked to the development of duodenal ulcers and stomach cancer. However, over 80% of individuals infected with the bacterium are asymptomatic, and it may play an important role in the natural stomach ecology.

More than 50% of the world's population harbor H. pylori in their upper gastrointestinal tract. Infection is more common in developing countries than Western countries.H. pylori's helical shape (from which the genus name derives) is thought to have evolved to penetrate the mucoid lining of the stomach.

Up to 85% of people infected with H. pylori never experience symptoms or complications.Acute infection may appear as an acute gastritis with abdominal pain (stomach ache) or nausea. Where this develops into chronic gastritis, the symptoms, if present, are often those of non-ulcer dyspepsia: stomach pains, nausea, bloating, belching, and sometimes vomiting or black stool.


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