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Acute yersiniosis and its surgical significance

Southern Medical Journal
|December 1, 1984
PubMed

Insights

An outbreak of yersiniosis in Mississippi mimicked appendicitis. Laparotomy revealed mesenteric adenitis, suggesting Yersinia enteritis should be considered in appendicitis diagnoses.

Area of Science:

  • Medical microbiology
  • Gastroenterology
  • Infectious disease epidemiology

Background:

  • An outbreak of yersiniosis occurred in northern Mississippi in early 1982.
  • Yersiniosis is an infection caused by bacteria of the genus Yersinia.

Purpose of the Study:

  • To highlight the clinical presentation of yersiniosis during an outbreak.
  • To emphasize the importance of considering Yersinia enteritis in the differential diagnosis of acute appendicitis.

Main Methods:

  • Clinical observation during a yersiniosis outbreak.
  • Surgical assessment (laparotomy) of patients presenting with abdominal pain.

Main Results:

  • Abdominal pain, a common symptom, was initially suggestive of appendicitis.
  • Laparotomy revealed mesenteric adenitis, not appendicitis, in affected patients.

Conclusions:

  • Yersinia enteritis can present with symptoms mimicking acute appendicitis.
  • Mesenteric adenitis due to Yersinia infection should be considered in the differential diagnosis of appendicitis, especially during outbreaks.

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