Document Detail

Clinical presentation and diagnosis of gastrointestinal infections by Yersinia enterocolitica in 261 Dutch patients.
MedLine Citation:
PMID:  9060059     Owner:  NLM     Status:  MEDLINE    
A surveillance of the clinical manifestations, course and outcome of 261 patients with gastrointestinal infection by Yersinia enterocolitica between 1982 and 1991 was carried out. Acute uncomplicated enteritis was diagnosed in 169 patients, complicated enteritis in 37, appendicular syndrome in 33, ileitis in 8 and colitis in 14. Children (age < 16 years, n = 105) presented most often with mild enteritis, young adults (age 16-25 years, n = 47) with enteritis or appendicular syndrome, adults (age > 25 years, n = 109) had significant risk for developing serious enteritis, ileitis and colitis. Complications included reactive arthritis, septicaemia, lymphadenitis, disturbed liver functions and erythema nodosum. Four patients died of generalized peritonitis. Diagnosis was established by positive culture in 207 patients. Another 54 patients were diagnosed by having at least two other positive tests: serum agglutinins, specific IgA and IgG antibodies to Yersinia outer membrane proteins (Yops) or antigen detection in biopsies. Culture alone was sufficient to diagnose uncomplicated enteritis, antiYops serology appeared to be very useful in diagnosing patients with other manifestations of yersiniosis. The majority of the infections were caused by serotypes O3 and O9 while unusual serotypes were associated with advancing age and colitis.
V M Stolk-Engelaar; J A Hoogkamp-Korstanje
Related Documents :
6667399 - Proliferative defects in ulcerative colitis patients.
4758659 - Electrical potential difference and sodium and potassium fluxes across rectal mucosa in...
22456769 - Nt-probnp levels at spontaneous breathing trial help in the prediction of post-extubati...
19861769 - Ulcerative colitis in saudi arabia: a retrospective analysis of 33 cases treated in a r...
9355779 - Guidelines for the treatment of ulcerative colitis in remission.
21821999 - Characterization of pulmonary venous hypertension patients with reactive pulmonary hype...
3952449 - Hiatus hernia in gastroesophageal reflux disease.
20687499 - Trichothiodystrophy: photosensitive, ttd-p, ttd, tay syndrome.
11289579 - Skeletal troponin-i release in orthopedic and soft tissue injuries.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of infectious diseases     Volume:  28     ISSN:  0036-5548     ISO Abbreviation:  Scand. J. Infect. Dis.     Publication Date:  1996  
Date Detail:
Created Date:  1997-05-20     Completed Date:  1997-05-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0215333     Medline TA:  Scand J Infect Dis     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  571-5     Citation Subset:  IM    
Department of Medical Microbiology, University Hospital Nijmegen, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Child, Preschool
Gastrointestinal Diseases / epidemiology,  microbiology*,  physiopathology
Netherlands / epidemiology
Yersinia Infections / diagnosis*,  epidemiology,  physiopathology
Yersinia enterocolitica / isolation & purification*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Pasteurella aerogenes isolated from ulcers or wounds in humans with occupational exposure to pigs: a...
Next Document:  Use of interrepeat PCR fingerprinting to investigate an Acinetobacter baumannii outbreak in an inten...