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. 1983 Dec;198(6):760–765. doi: 10.1097/00000658-198312000-00015

The Yersinia enterocolitica infection in acute abdominal surgery. A clinical study with a 5-year follow-up period.

A Saebø
PMCID: PMC1353226  PMID: 6639178

Abstract

By estimation of antibody titres or possibly isolation of the micro-organism, the role of the Yersinia enterocolitica as an etiological agent in mesenterial lymphadenitis, ileal inflammation, or abdominal colics was evaluated in 94 consecutive patients (25 operated upon and 69 treated conservatively) during a 1-year period from 1975-76. Eighty four patients (24 operated upon and 60 treated conservatively) were re-examined 5 years later. Among the 25 patients operated upon, three presented acute terminal ileitis, two of them in association with acute Y. enterocolitica infection. A substantial part of the 22 patients with other peroperative findings also presented trace or positive Y. enterocolitica antibody titres. Some of these patients experienced complaints attributable to the Y. enterocolitica infection over the following years. At re-examination, previously elevated Y. enterocolitica antibody titres had generally normalized, and in the two patients who in 1975 presented acute terminal ileitis associated with acute Y. enterocolitica infection, radiological examination now demonstrated normal terminal ileum. Among 69 patients treated conservatively for abdominal colics, 36 in 1975 presented trace or positive titres. During the 5-year follow-up period, abdominal pain and joint complaints were significantly more commonly experienced by patients with trace or positive titres than by patients with negative titres (p = 0.007 and p = 0.004, respectively). The Y. enterocolitica is an important cause of abdominal disease in our region, and the infection commonly gives symptoms of long duration.

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Selected References

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

  1. Anker E., Osnes M. Yersinia-artritt. En klinisk og serologisk etterundersøkelse. Tidsskr Nor Laegeforen. 1978 Apr 10;98(10):502–505. [PubMed] [Google Scholar]
  2. Bergstrand C. G., Winblad S. Clinical manifestations of infection with Yersinia enterocolitica in children. Acta Paediatr Scand. 1974 Nov;63(6):875–877. doi: 10.1111/j.1651-2227.1974.tb04880.x. [DOI] [PubMed] [Google Scholar]
  3. CARLSSON M. G., RYD H., STERNBY N. H. A CASE OF HUMAN INFECTION WITH PASTEURELLA PSEUDOTUBERCULOSIS X. Acta Pathol Microbiol Scand. 1964;62:128–132. doi: 10.1111/apm.1964.62.1.128. [DOI] [PubMed] [Google Scholar]
  4. Hannover Larsen J. Human yersiniose. Resultatet af serologisk undersøgelse for infektion med Yersinia enterocolitica. Ugeskr Laeger. 1972 Feb 28;134(9):431–436. [PubMed] [Google Scholar]
  5. Jepsen O. B., Korner B., Lauritsen K. B., Hancke A. B., Andersen L., Henrichsen S., Brenoe E., Christiansen P. M., Johansen A. Yersinia enterocolitica infection in patients with acute surgical abdominal disease. A prospective study. Scand J Infect Dis. 1976;8(3):189–194. doi: 10.3109/inf.1976.8.issue-3.13. [DOI] [PubMed] [Google Scholar]
  6. Kalliomäki J. L., Leino R. Follow-up studies of joint complications in yersiniosis. Acta Med Scand. 1979;205(6):521–525. doi: 10.1111/j.0954-6820.1979.tb06095.x. [DOI] [PubMed] [Google Scholar]
  7. Niléhn B., Sjöström B. Studies on Yersinia enterocolitica. Occurrence in various groups of acute abdominal disease. Acta Pathol Microbiol Scand. 1967;71(4):612–628. doi: 10.1111/j.1699-0463.1967.tb05182.x. [DOI] [PubMed] [Google Scholar]
  8. Saebo A. Some surgical manifestations of mesenteral lymphadenitis, associated with infection of the Yersinia enterocolitica. Acta Chir Scand. 1974;140(8):655–657. [PubMed] [Google Scholar]
  9. Saebø A. Liver affection associated with Yersinia enterocolitica infection. Acta Chir Scand. 1977;143(7-8):445–450. [PubMed] [Google Scholar]
  10. Saebø A. Liver affection correlated to low antibody titres against Yersinia enterocolitica. A statistical analysis. Acta Chir Scand. 1981;147(1):43–47. [PubMed] [Google Scholar]
  11. Winblad S., Niléhn B., Sternby N. H. Yersinia enterocolitica (Pasteurella x) in human enteric infections. Br Med J. 1966 Dec 3;2(5526):1363–1366. doi: 10.1136/bmj.2.5526.1363. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Winblad S. Yersiniosis enterocolitica. Lakartidningen. 1973 Jan 24;70(4):270–273. [PubMed] [Google Scholar]

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