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Three cases of acute mesenteric lymphadenitis due to Pasteurella pseudotuberculosis

N S MAIR, H J MAIR, E M STIRK

    Journal of Clinical Pathology
    |September 1, 1960
    PubMed

    Insights

    Three cases of mesenteric adenitis were linked to Pasteurella pseudotuberculosis infection, not viruses. This study highlights bacterial causes of mesenteric lymphadenitis.

    Area of Science:

    • Microbiology
    • Infectious Diseases
    • Pediatric Gastroenterology

    Background:

    • Mesenteric adenitis is a common condition often mimicking appendicitis.
    • Viral and bacterial etiologies are considered, but specific causative agents can be elusive.

    Purpose of the Study:

    • To investigate the role of viruses and Pasteurella pseudotuberculosis in mesenteric adenitis.
    • To report cases of acute mesenteric lymphadenitis caused by Pasteurella pseudotuberculosis.

    Main Methods:

    • Investigation of 17 mesenteric adenitis cases (May-October 1959).
    • Specimens included mesenteric glands, appendix, throat swabs, feces, and serum.
    • Virus isolation attempts and serological testing for Pasteurella pseudotuberculosis.

    Main Results:

    • No viruses were isolated from any specimens.
    • Evidence of Pasteurella pseudotuberculosis infection was found in three patients.
    • Pasteurella pseudotuberculosis Type IA isolated from two cases; all three showed serological evidence.

    Conclusions:

    • Pasteurella pseudotuberculosis is a causative agent of acute mesenteric lymphadenitis.
    • Histological changes in mesenteric glands were consistent with pseudotuberculosis in two cases.
    • This study underscores the importance of considering bacterial pathogens in mesenteric adenitis.
    Keywords:
    LYMPHADENITIS/microbiologyPASTEURELLA/infection

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