Video:Yersiniosis

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Description

Yersiniosis is an infectious disease caused by a bacterium of the genus Yersinia. Infection with Y. enterocolitica occurs most often in young children.[1][2][3]The infection is thought to be contracted through the consumption of undercooked meat products, unpasteurized milk, or water contaminated by the bacteria. It has been also sometimes associated with handling raw chitterlings.[4][5] Another bacterium of the same genus, Yersinia pestis, is the cause of Plague.[6]As to management we find that the drugs of choice are aminoglycosides or trimethoprim-sulfamethoxazole[3]

Presentation

Infection with Y. enterocolitica can cause a variety of symptoms depending on the age of the person infected. Common symptoms in children are fever, abdominal pain, and diarrhea, which is often bloody. Symptoms typically develop 4 to 7 days after exposure and may last 1 to 3 weeks or longer.[7]

Complications

In terms of the complications of Yersiniosis we find the following: paralytic ileus, Cholangitis, septicemia, Toxic megacolon, hepatic abscess, splenic abscess and renal abscess.[3]

Cause

The etiology of Yersiniosis is Yersinia enterocolitica, humans are hosts who do not contribute to the pathogens life cycle [3]

Mechanism

In terms of the mechanism of Yersiniosis we find that it involves the invasion of epithelial cells,as well as the colonization of lymphoid tissue, and spread to other organs. Among the pathogenic properties of Yersinia are chromosomally mediated effects and plasmid-mediated mechanisms[3][8]

Diagnosis

As to the diagnosis of Yersiniosis we find that the isolation of the organism can be done from:blood, cerebrospinal fluid, mesenteric lymph nodes ,peritoneal fluid and throat swab.[9]

Differential diagnosis

In terms of the differential diagnosis we find that the following should be considered: diverticulitis, Inflammatory bowel disease, colon cancer, and ischemic colitis.[3]

Epidemiology 1

The Centers for Disease Control and Prevention estimates that infections with Yersinia enterocolitica cause almost 117 thousand illnesses, 640 hospitalizations, and 35 deaths in the United States every year.[10]

References

  1. "About Yersinia Infection". Yersinia Infection (Yersiniosis). 4 November 2024. Retrieved 2 February 2025.
  2. Bancerz-Kisiel, Agata; Szweda, Wojciech (4 September 2015). "Yersiniosis – zoonotic foodborne disease of relevance to public health". Annals of Agricultural and Environmental Medicine. 22 (3): 397–402. doi:10.5604/12321966.1167700. ISSN 1232-1966.
  3. 3.0 3.1 3.2 3.3 3.4 3.5 Aziz, Muhammad; Yelamanchili, Varun S. (2025). "Yersinia Enterocolitica". StatPearls. StatPearls Publishing.
  4. Jones TF (August 2003). "From pig to pacifier: chitterling-associated yersiniosis outbreak among black infants". Emerging Infectious Diseases. 9 (8): 1007–9. doi:10.3201/eid0908.030103. PMC 3020614. PMID 12967503.
  5. Lee, LA.; Gerber, AR.; Lonsway, DR.; Smith, JD.; Carter, GP.; Puhr, ND.; Parrish, CM.; Sikes, RK.; Finton, RJ.; Tauxe, RV. (1990). " Yersinia enterocolitica O:3 infections in infants and children, associated with the household preparation of chitterlings". New England Journal of Medicine. 322 (14): 984–987. doi:10.1056/NEJM199004053221407. PMID 2314448.
  6. Ryan, KJ; Ray, CG, eds. (2004). Sherris Medical Microbiology (4th ed.). McGraw Hill. pp. 484–88. ISBN 978-0-8385-8529-0.
  7. "Yersiniosis". Medical Dictionary. Archived from the original on 2018-12-21. Retrieved 2013-01-28.
  8. Fang, Xue; Kang, Le; Qiu, Yi-Fan; Li, Zhao-Shen; Bai, Yu (8 March 2023). "Yersinia enterocolitica in Crohn's disease". Frontiers in Cellular and Infection Microbiology. 13. doi:10.3389/fcimb.2023.1129996. Retrieved 6 February 2025.
  9. "Clinical Overview of Yersiniosis". Yersinia Infection (Yersiniosis). 16 May 2024. Retrieved 22 January 2025.
  10. "Questions and Answers". Centers for Disease Control and Prevention. 1 August 2019. Archived from the original on 22 April 2023. Retrieved 30 April 2023.Public Domain This article incorporates text from this source, which is in the public domain.