Brief report of complicatedYersinia enterocoliticainfection in an immunocompetent host: Review of the literature and pathogenicity mechanisms

Author:

Samnani Sunil1,Bibby Helen2,Luft LeeAnne3

Affiliation:

1. Department of Medicine, University of Calgary, Calgary, Alberta, Canada

2. Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, Canada

3. Department of Medicine, Section of Infectious Disease, University of Calgary, Calgary, Alberta, Canada

Abstract

Background:We report a case of a 47-year-old male presenting with Yersinia enterocolitica septicemia with no known risk factors for invasive infection, found to have multiloculated liver and splenic abscesses with an antecedent history of mild enterocolitis.Case presentation:Our patient presented with septic shock in the setting of gastroenteritis with abdominal pain and fever. On work-up, he was found to have multiloculated hepatic and splenic abscesses secondary to Y. enterocolitica. No identifiable risk factors (ie, iron-overload syndrome or immunosuppression) for Y. enterocolitica septicemia were identified in our patient. Our patient was treated with a prolonged course of antibiotics until imaging resolution of his liver and splenic abscesses.Conclusion:Invasive Y. enterocolitica in an immunocompetent host is rare. Our case highlights the pathogenicity of Y. enterocolitica, and important treatment and management considerations.

Publisher

University of Toronto Press Inc. (UTPress)

Subject

Infectious Diseases,Microbiology (medical)

Reference25 articles.

1. Bennett JE, Dolin R, Blaser MJ. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. Chapter 229B Yersinia enterocolitica and Yersinia pseudotuberculosis. 9th ed. Philadelphia, PA: Elsevier; 2020. p. 2788–92.e2.

2. Transfusion-Transmitted Yersinia enterocolitica Sepsis

3. Antibiotic Treatment of Yersinia enterocolitica Septicemia: A Retrospective Review of 43 Cases

4. Multiple Hepatic Abscesses Due to Yersinia enterocolitica Infection Secondary to Primary Haemochromatosis

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