A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report

Autor: Marco Cataldi, Giuseppe Brancatelli, Chiara Pintus, Antonino Tuttolomondo, Valerio Vassallo, Salvatore Miceli, Rosario Luca Norrito, Mario Daidone, Maria Grazia Puleo, Alessandro Del Cuore, Tiziana Di Chiara, G. Pizzo, Antonio Pinto
Přispěvatelé: Norrito R.L., Pintus C., Cataldi M., Del Cuore A., Daidone M., Vassallo V., Puleo M.G., Di Chiara T., Miceli S., Pizzo G.M., Brancatelli G., Tuttolomondo A., Pinto A.
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
medicine.medical_specialty
Settore MED/09 - Medicina Interna
Case report
Infective colitis
Microliver abscesses
Yersinia enterocolitica
Aged
Anti-Bacterial Agents
Bacteremia
Liver Neoplasms
Treatment Outcome
Yersinia Infections
Colitis
Diagnosis
Differential
Female
Humans
Liver Abscess
Yersinia Infections
030106 microbiology
Liver Abscess
Infective colitis
Case Report
Bacteremia
Infectious and parasitic diseases
RC109-216
Inflammatory bowel disease
Gastroenterology
Metastasis
Diagnosis
Differential
03 medical and health sciences
0302 clinical medicine
Medical microbiology
Internal medicine
medicine
Humans
030212 general & internal medicine
Yersinia enterocolitica
Aged
Doxycycline
biology
business.industry
Liver Neoplasms
Microliver abscesses
medicine.disease
biology.organism_classification
Colitis
Occult
Anti-Bacterial Agents
Infectious Diseases
Treatment Outcome
Female
Differential diagnosis
business
Cefixime
medicine.drug
Zdroj: BMC Infectious Diseases
BMC Infectious Diseases, Vol 21, Iss 1, Pp 1-5 (2021)
ISSN: 1471-2334
Popis: Background We report an unusual case of infective colitis by Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver metastases in a 79 yr old female without any risk factors for bacteriaemia by this pathogen. Case presentation The patient was admitted to the Internal Medicine with Stroke Care ward of University Policlinico “P. Giaccone” in Palermo because of the appearance of diarrhoea. After the antimicrobial treatment for infective colitis, the clinicians observed a persistently increased white blood cells (WBC) count and multiple hepatic lesions; after having excluded any neoplastic disease and inflammatory bowel disease (IBD), blood cultures positive for Y. enterocolitica allowed to establish the final diagnosis was infective micro liver abscesses consequent to infective colitis due to Y. enterocolitica, which were successfully treated with cefixime and doxycycline. Conclusions This case report should make clinicians reflect on how complex the differential diagnosis between microliver abscesses and metastasis could be and the possibility of bacteriaemia by Y. enterocolitica even without iron overload conditions.
Databáze: OpenAIRE
Externí odkaz: