Abscesos hepatoesplénicos múltiples por yersina enterocolítica en un paciente con hemocromatosis / Multiple hepato-splenic abscesses caused by yersinia enterocolitica in a patient with hemochromatosis
Rev. méd. Chile
;
125(8): 917-21, ago. 1997. ilus
Artículo
en Español
| LILACS
| ID: lil-207130
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
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Índice:
LILACS (Américas)
Asunto principal:
Yersinia enterocolitica
/
Yersiniosis
/
Hemocromatosis
/
Absceso Hepático
Límite:
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
1997
Tipo del documento:
Artículo
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