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. 1991 Oct;50(10):694–696. doi: 10.1136/ard.50.10.694

Late complications after a Yersinia enterocolitica epidemic: a follow up study.

H Lindholm 1, R Visakorpi 1
PMCID: PMC1004533  PMID: 1958092

Abstract

Ninety four Finnish conscripts were affected by a Yersinia enterocolitica epidemic in 1973. Thirteen years later 75 men completed a questionnaire about their present health. One half had no health problems, and the most common complaints in the other subjects were musculoskeletal disorders. Sixteen men wanted to be re-examined. In three cases a chronic connective tissue disease was diagnosed. Two men had ankylosing spondylitis. The most notable results of this study were (a) the fairly low number of late complications, (b) the close correlation between complications and the HLA-B27 antigen, and (c) the correlation between raised yersinia antibody titres and the late complications. The nature of the primary causative agent may affect the development of late complications.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aho K., Ahvonen P., Lassus A., Sievers K., Tiilikainen A. HL-A 27 in reactive arthritis. A study of Yersinia arthritis and Reiter's disease. Arthritis Rheum. 1974 Sep-Oct;17(5):521–526. doi: 10.1002/art.1780170505. [DOI] [PubMed] [Google Scholar]
  2. Ahvonen P. Human yersiniosis in Finland. I. Bacteriology and serology. Ann Clin Res. 1972 Feb;4(1):30–38. [PubMed] [Google Scholar]
  3. Ahvonen P. Human yersiniosis in Finland. II. Clinical features. Ann Clin Res. 1972 Feb;4(1):39–48. [PubMed] [Google Scholar]
  4. Ahvonen P., Sievers K., Aho K. Arthritis associated with Yersinia enterocolitica infection. Acta Rheumatol Scand. 1969;15(3):232–253. doi: 10.3109/rhe1.1969.15.issue-1-4.32. [DOI] [PubMed] [Google Scholar]
  5. Asakawa Y., Akahane S., Kagata N., Noguchi M., Sakazaki R. Two community outbreaks of human infection with Yersinia enterocolitica. J Hyg (Lond) 1973 Dec;71(4):715–723. doi: 10.1017/s002217240002297x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Black R. E., Jackson R. J., Tsai T., Medvesky M., Shayegani M., Feeley J. C., MacLeod K. I., Wakelee A. M. Epidemic Yersinia enterocolitica infection due to contaminated chocolate milk. N Engl J Med. 1978 Jan 12;298(2):76–79. doi: 10.1056/NEJM197801122980204. [DOI] [PubMed] [Google Scholar]
  7. Calin A., Fries J. F. Striking prevalence of ankylosing spondylitis in "healthy" w27 positive males and females. N Engl J Med. 1975 Oct 23;293(17):835–839. doi: 10.1056/NEJM197510232931701. [DOI] [PubMed] [Google Scholar]
  8. Denneberg T., Friedberg M., Samuelsson T., Winblad S. Glomerulonephritis in infections with Yersinia enterocolitica O-serotype 3. I. Evidence for glomerular involvement in acute cases of yersiniosis. Acta Med Scand. 1981;209(1-2):97–101. [PubMed] [Google Scholar]
  9. Dequeker J., Jamar R., Walravens M. HLA-B27, arthritis and Yersinia enterocolitica infection. J Rheumatol. 1980 Sep-Oct;7(5):706–710. [PubMed] [Google Scholar]
  10. Granfors K., Viljanen M., Tiilikainen A., Toivanen A. Persistence of IgM, IgG, and IgA antibodies to Yersinia in yersinia arthritis. J Infect Dis. 1980 Apr;141(4):424–429. doi: 10.1093/infdis/141.4.424. [DOI] [PubMed] [Google Scholar]
  11. Highsmith A. K., Feeley J. C., Skaliy P., Wells J. G., Wood B. T. Isolation of Yersinia enterocolitica from well water and growth in distilled water. Appl Environ Microbiol. 1977 Dec;34(6):745–750. doi: 10.1128/aem.34.6.745-750.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Konttinen Y., Nordström D., Bergroth V., Leirisalo-Repo M., Santavirta S. Occurrence of different ensuing triggering infections preceding reactive arthritis: a follow up study. Br Med J (Clin Res Ed) 1988 Jun 11;296(6637):1644–1645. doi: 10.1136/bmj.296.6637.1644. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Lahesmaa-Rantala R., Granfors K., Kekomäki R., Toivanen A. Circulating yersinia specific immune complexes after acute yersiniosis: a follow up study of patients with and without reactive arthritis. Ann Rheum Dis. 1987 Feb;46(2):121–126. doi: 10.1136/ard.46.2.121. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Laitinen O., Leirisalo M., Allander E. Rheumatic fever and Yersinia arthritis. Criteria and diagnostic problems in a changing disease pattern. Scand J Rheumatol. 1975;4(3):145–157. doi: 10.3109/03009747509165445. [DOI] [PubMed] [Google Scholar]
  15. Laitinen O., Leirisalo M., Skylv G. Relation between HLA-B27 and clinical features in patients with yersinia arthritis. Arthritis Rheum. 1977 Jun;20(5):1121–1124. doi: 10.1002/art.1780200512. [DOI] [PubMed] [Google Scholar]
  16. Larsen J. H. Yersinia enterocolitica infections and rheumatic diseases. Scand J Rheumatol. 1980;9(3):129–137. doi: 10.3109/03009748009098143. [DOI] [PubMed] [Google Scholar]
  17. Leino R., Kalliomäki J. L. Yersiniosis as an internal disease. Ann Intern Med. 1974 Oct;81(4):458–461. doi: 10.7326/0003-4819-81-4-458. [DOI] [PubMed] [Google Scholar]
  18. Leirisalo-Repo M., Suoranta H. Ten-year follow-up study of patients with Yersinia arthritis. Arthritis Rheum. 1988 Apr;31(4):533–537. doi: 10.1002/art.1780310410. [DOI] [PubMed] [Google Scholar]
  19. Saari K. M., Laitinen O., Leirisalo M., Saari R. Ocular inflammation associated with Yersinia infection. Am J Ophthalmol. 1980 Jan;89(1):84–95. doi: 10.1016/0002-9394(80)90234-2. [DOI] [PubMed] [Google Scholar]
  20. Toivanen P., Toivanen A., Olkkonen L., Aantaa S. Hospital outbreak of Yersinia enterocolitica infection. Lancet. 1973 Apr 14;1(7807):801–803. doi: 10.1016/s0140-6736(73)90601-6. [DOI] [PubMed] [Google Scholar]
  21. van der Linden S. M., Valkenburg H. A., de Jongh B. M., Cats A. The risk of developing ankylosing spondylitis in HLA-B27 positive individuals. A comparison of relatives of spondylitis patients with the general population. Arthritis Rheum. 1984 Mar;27(3):241–249. doi: 10.1002/art.1780270301. [DOI] [PubMed] [Google Scholar]

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