Surgical aspects of an outbreak of Yersinia enterocolitis
Eleven patients with Yersinia enterocolitica infections were identified in the Upper Valley of New Hampshire and Vermont during October and November of 1995. Three children presented with an appendicitis-like picture. Two underwent appendectomy, one of whom was the outbreak's index case. Both a...
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Veröffentlicht in: | Pediatric surgery international 1998-01, Vol.13 (1), p.2-5 |
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description | Eleven patients with Yersinia enterocolitica infections were identified in the Upper Valley of New Hampshire and Vermont during October and November of 1995. Three children presented with an appendicitis-like picture. Two underwent appendectomy, one of whom was the outbreak's index case. Both appendectomy patients presented with lower abdominal pain, fever, vomiting, and a right lower quadrant mass associated with leukocytosis. Both had terminal ileitis, and in both, cultures of peritoneal fluid and a mesenteric lymph node grew Y. enterocolitica. Even during an outbreak there is no consistently reliable nonoperative way to separate a sporadic case of appendicitis from one whose appendicitis-like symptoms are due to Yersinia. In addition, a small percentage of Yersinia patients will present with true appendicitis as a complication of their disease. |
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In addition, a small percentage of Yersinia patients will present with true appendicitis as a complication of their disease.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s003830050229</identifier><identifier>PMID: 9391192</identifier><identifier>CODEN: PSUIED</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Child ; Child, Preschool ; Disease Outbreaks ; Enterocolitis - microbiology ; Female ; Food Microbiology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Infant ; Medical sciences ; New Hampshire - epidemiology ; Other diseases. Semiology ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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A</au><au>THOMPSON, M. D</au><au>MOONEY, D. P</au><au>MODLIN, J. F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical aspects of an outbreak of Yersinia enterocolitis</atitle><jtitle>Pediatric surgery international</jtitle><addtitle>Pediatr Surg Int</addtitle><date>1998-01-01</date><risdate>1998</risdate><volume>13</volume><issue>1</issue><spage>2</spage><epage>5</epage><pages>2-5</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><coden>PSUIED</coden><abstract>Eleven patients with Yersinia enterocolitica infections were identified in the Upper Valley of New Hampshire and Vermont during October and November of 1995. Three children presented with an appendicitis-like picture. Two underwent appendectomy, one of whom was the outbreak's index case. Both appendectomy patients presented with lower abdominal pain, fever, vomiting, and a right lower quadrant mass associated with leukocytosis. 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subjects | Adolescent Adult Biological and medical sciences Child Child, Preschool Disease Outbreaks Enterocolitis - microbiology Female Food Microbiology Gastroenterology. Liver. Pancreas. Abdomen Humans Infant Medical sciences New Hampshire - epidemiology Other diseases. Semiology Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Vermont - epidemiology Yersinia enterocolitica Yersinia Infections - diagnosis Yersinia Infections - epidemiology |
title | Surgical aspects of an outbreak of Yersinia enterocolitis |
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