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Presentation of Yersinia enterocolitica enteritis in children

S H Naqvi1, E M Swierkosz, J Gerard

  • 1Department of Pediatrics, St. Louis University School of Medicine, MO.

The Pediatric Infectious Disease Journal
|May 1, 1993
PubMed

Insights

Yersinia enterocolitica enteritis is common in winter, particularly in infants. Early stool cultures are crucial for diagnosing this treatable infection in young children presenting with fever and diarrhea.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Background:

  • Yersinia enterocolitica causes enteritis, a significant pediatric infection.
  • Understanding its epidemiology and clinical features is vital for timely diagnosis and treatment.

Purpose of the Study:

  • To investigate the seasonal incidence of Yersinia enterocolitica enteritis in children.
  • To describe the clinical presentation of Yersinia enteritis in pediatric patients.

Main Methods:

  • Retrospective review of case records of children diagnosed with Yersinia enterocolitica enteritis.
  • Analysis of patient demographics, seasonal occurrence, and clinical symptoms.

Main Results:

  • Yersinia enteritis incidence is comparable to Campylobacter enteritis.
  • Infection predominantly occurred during winter months (P < 0.002).
  • Fever was common in infants; abdominal pain and distention were infrequent. Seventeen (35%) patients were 3 months or younger, with 4 (28%) developing Yersinia sepsis.

Conclusions:

  • Yersinia enterocolitica enteritis exhibits seasonal clustering during winter.
  • Physicians should consider Yersinia stool cultures in young infants with winter-onset fever and diarrhea, especially with bloody stools or sepsis signs.

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