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Liver abscess complicating Yersinia pseudotuberculosis ileitis

J P Capron, J Delamarre, R Delcenserie

    Gastroenterology
    |July 1, 1981
    PubMed
    Summary

    Yersinia pseudotuberculosis infection can cause subacute ileitis and liver abscess in young farmers. Early antibiotic treatment is crucial to prevent severe complications from this Yersinia infection.

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    Area of Science:

    • Gastroenterology
    • Infectious Diseases
    • Hepatology

    Background:

    • Subacute terminal ileitis can mimic Crohn's disease, presenting diagnostic challenges.
    • Yersinia pseudotuberculosis is a known pathogen causing ileitis, typically with milder symptoms.

    Observation:

    • A young farmer presented with solitary liver abscess and subacute terminal ileitis.
    • Clinical presentation mimicked Crohn's disease, necessitating further investigation.
    • Serologic tests revealed high antibody titers for Yersinia pseudotuberculosis.

    Findings:

    • The case highlights a rare complication of Yersinia ileitis presenting as a liver abscess.
    • Successful treatment was achieved with troleandomycin, an antibiotic.
    • Yersinia infection should be systematically screened in subacute ileitis cases.

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    Implications:

    • This case underscores the importance of considering Yersinia infection in undiagnosed subacute ileitis.
    • A typically benign Yersinia ileitis can lead to severe extra-intestinal manifestations like liver abscess.
    • Prompt antibiotic therapy in Yersinia pseudotuberculosis ileitis is essential to avert serious infectious sequelae.