Document Detail


Persistence of Yersinia enterocolitica in man.
MedLine Citation:
PMID:  3286508     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ten patients with chronic Yersinia enterocolitica infections are described. The initial diagnosis was made by culture, significant agglutinin titres and indirect immunofluorescence (IF) on biopsies. During the chronic phase, culture and agglutinin titres were negative, but specific serum IgA and IgG antibodies reactive with at least two, i.e. the 36 kDa and the 46 kDa, virulence-associated released proteins were demonstrated in nine patients by immunoblot techniques. One patient had only IgG antibodies. The chronically elevated IgA production was the result of chronic stimulation of the gut-associated lymphoid tissue by virulent persistent Yersinia antigen, which was identified by IF with O-specific antiserum and monospecific antiserum to the 46 kDa released protein in biopsies. Virulent Yersinia bacilli were demonstrated in the intestinal mucosa and in the lymphoid tissue of the submucosa associated with macrophages in patients with chronic ileitis and arthritis, in granulomatous centres of lymph nodes in patients with chronic lymphadenopathy and in portal infiltrates in a patient with chronic hepatitis. Recognition of persistent Yersinia infections may have therapeutic implications.
Authors:
J A Hoogkamp-Korstanje; J de Koning; J Heesemann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Infection     Volume:  16     ISSN:  0300-8126     ISO Abbreviation:  Infection     Publication Date:    1988 Mar-Apr
Date Detail:
Created Date:  1988-07-08     Completed Date:  1988-07-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0365307     Medline TA:  Infection     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  81-5     Citation Subset:  IM    
Affiliation:
Laboratory for Public Health, Leeuwarden.
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MeSH Terms
Descriptor/Qualifier:
Agglutination Tests
Antibodies, Bacterial / analysis
Arthritis, Infectious / etiology*
Chronic Disease
Female
Fluorescent Antibody Technique
Humans
Ileitis / etiology*
Male
Proctitis / etiology*
Time Factors
Yersinia Infections / diagnosis*
Yersinia enterocolitica / immunology,  isolation & purification
Chemical
Reg. No./Substance:
0/Antibodies, Bacterial

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


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