Mesenteric lymph node abscess due to Yersinia enterocolitica: case report and review of the literature
| Autor: | Mario Jin, Hiroshi Nanjo, Noboru Watanabe, Hirosato Mashima, Shin Tawaraya, Kengo Onochi, Hiroshi Uchinami, Yuzo Yamamoto, Hirohide Ohnishi, Tamotsu Matsuhashi, Ken Watanabe, Hideaki Miyazawa, Shigeto Koizumi, Masayuki Sawaguchi |
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| Rok vydání: | 2014 |
| Předmět: |
Pathology
medicine.medical_specialty Yersinia Infections Lymph Node Abscess medicine Humans Mesenteric lymph nodes Mesentery Yersinia enterocolitica Abscess Lymphatic Diseases Lymph node Aged biology business.industry Gastroenterology General Medicine biology.organism_classification medicine.disease Lymphatic disease Lymphatic system medicine.anatomical_structure Female business |
| Zdroj: | Clinical Journal of Gastroenterology. 7:41-47 |
| ISSN: | 1865-7265 1865-7257 |
| DOI: | 10.1007/s12328-013-0452-4 |
| Popis: | We describe the case of a 74-year-old female with a mesenteric lymph node abscess caused by a Yersinia enterocolitica infection. She had been administered an immunosuppressive drug and was admitted to the hospital due to a high fever, right lower abdominal pain and advanced leukocytosis. We initially diagnosed her with lymphadenitis based on the symptoms and the imaging studies. However, conservative treatment with antibiotics did not yield any improvement, and abscess formation was suspected. Surgical treatment was performed, and the culture from the drainage fluid grew Y. enterocolitica. The histological findings suggested that an ulcerative lesion of the terminal ileum was the entry port of Y. enterocolitica. The pathogen infected the mesenteric lymph nodes and spread along the ileocecal lymphatic vessels, resulting in the formation of an abscess. We also provide a review of the previously published literature on lymph node abscesses due to Y. enterocolitica infections. |
| Databáze: | OpenAIRE |
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