Yersinia enterocolitica ileocolitis in beta‐thalassemic patients

Greco, Luigi; Marino, F.; Gentile, Amanda; Catalano, G.; Angilletta, D.

doi:10.1111/j.1463-1318.2006.01010.x

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…Iron overload is an important risk factor for infection and for disseminated forms of the disease [7]. Furthermore, in children using chelating agents, the virulence of Y. enterocolitica is enhanced because it provides iron as a siderophore for their growth [7, 8]. Reed et al [9] found that 50% of the patients from a review of 12 patients with Y. enterocolitica peritonitis had iron overload.…”

Section: Discussionmentioning

confidence: 99%

“…Although most of the reports highlight the importance of early recognition of this infection to avoid unnecessary surgery, there are some reports of surgical treatment for complicated Y. enterocolitica infections, such as intractable abdominal pain, intussusception, intestinal obstruction, perforation, and peritonitis [3, 5]. Greco et al [8] reported the need of surgery in 3 of the 4 cases of Yersinosis in patients with iron overload. Kimura and Sasaki [12] also reported a case in which surgery was required for intractable Yersinosis.…”

Section: Discussionmentioning

confidence: 99%

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Yersinia Enterocolitis May Mimic Appendicitis: 12 Years of Experience in a Single Tertiary Center

Fernandes

Vasconcelos-Castro

Teixeira

et al. 2020

GE Port J Gastroenterol

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Introduction: Yersinia enterocolitica infection is a zoonotic disease that varies from self-limited gastroenteritis to more severe forms. Its propensity to affect the terminal ileum and to spread to regional lymph nodes explains the potential misdiagnosis with appendicitis. Methods: We reviewed the Y. enterocoliticainfection cases in a pediatric population for the last 12 years. Results: There were 11 cases of Y. enterocolitica infection in the selected period. Four patients had a suspected surgical diagnosis: 1 intussusception, 3 acute appendicitis. Patients who presented with appendicitis-like features were older, whereas younger children most commonly presented with diarrhea and fever. Ultrasound and abdominal computed tomography (CT) were performed in appendicitis-like patients and ruled out appendicitis in 2 of the 3 cases. The only patient submitted to surgery had abnormal CT findings and an important risk factor for this infection that was not recognized at presentation. Conclusion: This condition should be considered in patients with known risk factors (such as iron overload) and with the right epidemiological setting when presenting with abdominal symptoms. The suspicion of this diagnosis in these particular cases might obviate unnecessary surgical interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Yersinia Enterocolitis May Mimic Appendicitis: 12 Years of Experience in a Single Tertiary Center

Fernandes

Vasconcelos-Castro

Teixeira

et al. 2020

GE Port J Gastroenterol

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“…Homewood et al [38] described another case of terminal ileitis caused by YP infection. The patient was subsequently diagnosed with CD [39][40][41]. In addition, YE DNA was found in the histology of colonic and mesenteric lymph node resections in a number of CD cases.…”

Section: Yersiniosis Histioplasmosis Granulomatous Enterocolitismentioning

confidence: 99%

Difficulties in the Differential Diagnosis of Crohn’s Disease

Babayeva¹,

Asadova²,

Musayev³

et al. 2023

Crohn’s Disease - The Current State of the Art

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Currently, the main difficulty in the accurate diagnosis of inflammatory bowel disease (IBD) is associated with the high prevalence of infectious, allergic and autoimmune diseases leading to intestinal lesions mimicking IBD. In geographical regions where there is endemicity for certain infections, in particular tuberculosis, timely verification of the diagnoses of ulcerative colitis (UC) and Crohn’s disease (CD) is a serious problem. Some infectious, allergic and autoimmune pathologies can not only imitate the clinical and endoscopic picture of IBD, but also complicate the course of an existing IBD, as a result of which there is resistance to the prescribed basic therapy in patients with UC and CD. Unfortunately, the complexity and limited possibilities of diagnostic methods can often be the reason for the belated establishment of an accurate diagnosis. Thus, in all these diseases, the main fecal markers for verifying the diagnosis of IBD, fecal calprotectin and lactoferrin, often have elevated values.

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“…The patient was subsequently diagnosed with CD. A number of authors speculated that YP ileitis modified the classical features of YP by the preexisting CD [50][51][52]. Furthermore, YE DNA has been detected in the histology of colonic resections and mesenteric lymph nodes in a series of CD cases.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

Terminal Ileitis due to Yersinia Infection: An Underdiagnosed Situation

Triantafillidis

Thomaidis

Papalois

2020

BioMed Research International

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Endoscopy is currently the gold standard for the diagnosis of inflammatory bowel disease (IBD). The presence of macroscopic lesions along with the microscopic detection of inflammatory infiltration in the terminal ileum often leads the gastroenterologist to the diagnosis of Crohn’s disease (CD). However, some of these cases could be, in fact, an infection caused by Yersinia spp., accompanied or not with CD, which could be easily diagnosed with the identification of serum antibodies against Yersinia outer protein antigens (YOP antigens). Since Yersiniosis is considered to be an uncommon situation, food and water are not usually checked for the possibility of contamination by Yersinia. Therefore, it is reasonable to assume that the true prevalence of Yersinia infection in patients with terminal ileitis is probably underestimated. In this article, we review the most important data regarding the various aspects of Yersinia infection with special focus on its pathophysiology and diagnosis. We recommend testing for serum antibodies against YOP antigens in all patients with an endoscopic and histological image of terminal ileitis in order to identify Yersiniosis in conjunction or not with terminal ileum CD.

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Yersinia enterocolitica ileocolitis in beta‐thalassemic patients

Cited by 5 publications

References 6 publications

<b><i>Yersinia</i></b> Enterocolitis May Mimic Appendicitis: 12 Years of Experience in a Single Tertiary Center

<b><i>Yersinia</i></b> Enterocolitis May Mimic Appendicitis: 12 Years of Experience in a Single Tertiary Center

Difficulties in the Differential Diagnosis of Crohn’s Disease

Terminal Ileitis due to Yersinia Infection: An Underdiagnosed Situation

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