Surgical aspects of an outbreak of Yersinia enterocolitis |
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Authors: | N A Shorter M D Thompson D P Mooney J F Modlin |
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Institution: | (1) Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA, LB;(2) Departments of Surgery and Pediatrics, Children's Hospital at Dartmouth, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA, LB;(3) Department of Pediatrics, Dartmouth-Hitchcock Medical Center, NH 03756, USA, US |
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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.
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.
Accepted: 20 January 1997 |
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Keywords: | Yersinia enterocolitica Gastroenteritis Appendicitis |
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