Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus

Infection with Yersinia enterocolitica (YE) typically presents with mild gastroenteritis without systemic infection. However, systemic YE infection has been described in states of iron overload. We present the case of a patient with sepsis with hepatic abscesses due to YE infection. Workup revealed...

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Autores principales: Sauter, Matthias, Vavricka, Stephan R., Locher, Pascal, Preiswerk, Benjamin, Weishaupt, Dominik, Meier, Christoph A., Misselwitz, Benjamin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2017
Materias:
Single Case
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803678/
https://www.ncbi.nlm.nih.gov/pubmed/29430224
http://dx.doi.org/10.1159/000481932
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author Sauter, Matthias
Vavricka, Stephan R.
Locher, Pascal
Preiswerk, Benjamin
Weishaupt, Dominik
Meier, Christoph A.
Misselwitz, Benjamin
author_facet Sauter, Matthias
Vavricka, Stephan R.
Locher, Pascal
Preiswerk, Benjamin
Weishaupt, Dominik
Meier, Christoph A.
Misselwitz, Benjamin
author_sort Sauter, Matthias
collection PubMed
description Infection with Yersinia enterocolitica (YE) typically presents with mild gastroenteritis without systemic infection. However, systemic YE infection has been described in states of iron overload. We present the case of a patient with sepsis with hepatic abscesses due to YE infection. Workup revealed a past diagnosis of diabetes mellitus and hemochromatosis which had been untreated for the previous 5 years due to patient refusal. This case highlights risk factors for systemic infection with YE. A high degree of suspicion for YE infection is warranted in patients with iron overload, diabetes mellitus, or immunosuppression.
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spelling pubmed-58036782018-02-09 Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus Sauter, Matthias Vavricka, Stephan R. Locher, Pascal Preiswerk, Benjamin Weishaupt, Dominik Meier, Christoph A. Misselwitz, Benjamin Case Rep Gastroenterol Single Case Infection with Yersinia enterocolitica (YE) typically presents with mild gastroenteritis without systemic infection. However, systemic YE infection has been described in states of iron overload. We present the case of a patient with sepsis with hepatic abscesses due to YE infection. Workup revealed a past diagnosis of diabetes mellitus and hemochromatosis which had been untreated for the previous 5 years due to patient refusal. This case highlights risk factors for systemic infection with YE. A high degree of suspicion for YE infection is warranted in patients with iron overload, diabetes mellitus, or immunosuppression. S. Karger AG 2017-11-29 /pmc/articles/PMC5803678/ /pubmed/29430224 http://dx.doi.org/10.1159/000481932 Text en Copyright © 2017 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case
Sauter, Matthias
Vavricka, Stephan R.
Locher, Pascal
Preiswerk, Benjamin
Weishaupt, Dominik
Meier, Christoph A.
Misselwitz, Benjamin
Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_full Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_fullStr Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_full_unstemmed Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_short Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_sort multilocular hepatic abscess formation and sepsis due to yersinia enterocolitica in a patient with hereditary hemochromatosis and type 2 diabetes mellitus
topic Single Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803678/
https://www.ncbi.nlm.nih.gov/pubmed/29430224
http://dx.doi.org/10.1159/000481932
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