ABSTRACT
Yersinia enterocolitica is a gram-negative bacillus that thrives in conditions associated with iron overload. We decribe an unusual case of a diabetic patient with a previously unrecognized hemochromatosis presenting with Y. enterocolitica septicemia. He was admitted because of a 10 day history of abdominal pain, fever and jaundice. Blood cultures grew Y. enterocolitica. The abdomen CT scan showed multiple liver and splenic abscesses. Antibiotic treatment with ciprofloxacin (2 months) resulted in a good clinical response. Serum iron studies showed iron overload. Liver biopsy revealed moderate fibrosis and early cirrhosis with large amounts of hemosiderin granules deposited in hepatocytes and bile duct epithelium. This report reviews the literature and highlighsts that iron overload must be ruled out in Yersinia septicemia patients
Subject(s)
Humans , Male , Middle Aged , Yersinia enterocolitica/pathogenicity , Yersinia Infections/complications , Hemochromatosis/complications , Liver Abscess/microbiology , Sepsis/microbiology , Liver Abscess/pathologyABSTRACT
Lactante de 11 meses, intervenido con obstrucción por invaginación intestinal secundaria a ileítis terminal de histopatología consistente con infección por Yersinia enterocolítica e historia compatible. Distribución prácticamente universal, mejor conocida los 20 últimos años, Y. enterocolítica es aislada en Chile en 1976 y 1978. De creciente importancia médica y quirúrgica, causante importante de gastroenteritis en menores de 5 años e ileítis terminal y linfadenitis mesentérica en escolares, entre otras manifestaciones