YERSINIA INFECTION AND ACUTE ABDOMINAL PAIN
| Autor: | T. F. Buckley, S. E. A. Attwood, K. Mealy, N. Boyle, M.T. Cafferkey, Eugene Healy, A.B. West, Frank B. V. Keane |
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| Rok vydání: | 1987 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain Yersinia Infections Pain Yersinia Gastroenterology Enteritis Internal medicine Abdomen Humans Medicine Yersinia enterocolitica biology business.industry Yersiniosis General Medicine Appendicitis medicine.disease biology.organism_classification Antibodies Bacterial medicine.anatomical_structure Yersinia pseudotuberculosis Acute Disease Immunology Etiology Female Seasons medicine.symptom business Ireland |
| Zdroj: | The Lancet. 329:529-533 |
| ISSN: | 0140-6736 |
| DOI: | 10.1016/s0140-6736(87)90175-9 |
| Popis: | In 194 patients presenting with acute abdominal pain from whom sequential serum samples were taken, the frequency of yersiniosis, established serologically, was significantly higher (23%) than in 320 control subjects (2%). Yersiniosis occurred in 31% of patients with acute appendicitis. Acute-phase serum samples only, obtained in a further 307 patients, yielded a falsely low frequency of yersiniosis (4%). Y pseudotuberculosis was five times more common than Y enterocolitica, and Y pseudotuberculosis type IV was the most common serotype, accounting for 43% of Yersinia infections. Yersinia may play a more important part in the aetiology of acute abdominal pain, and particularly acute appendicitis, than has been previously appreciated. Antibody titres to both Y enterocolitica and Y pseudotuberculosis frequently rise late in infections causing abdominal pain. Consequently analysis of acute-phase serum samples alone leads to underdiagnosis of yersiniosis. |
| Databáze: | OpenAIRE |
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