Zillessen E, Nessler G, Hunstein W
Med Klin. 1978 Jun 16;73(24):901-9.
Yersinia infections in 16 adults and 9 children are reported. 15 cases were caused by Yersinia pseudotuberculosis, 8 of them were proved by serological findings. In 4 cases the infection by Yersinia pseudotuberculosis was likely, in 3 other cases possible only. Real infections caused by serotype IV are demonstrated too. Furthermore there were 10 cases caused by Yersinia enterocolitica, 3 of them were proved by bacterial, the other ones by serological findings. Both germs caused identical symptoms: fever (80%), abdominal pains (56%), diarrhoea (52%), erythema nodosum (44%), arthritis (40%), vomiting (16%), weight loss (16%), lymphoma (12%) and others. In children 50% of erythema nodosum was produced by intestinal yersiniosis. The beginning with gastroenteritis and fever mostly was followed by a second phase with returning fever, abdominal pains, erythema nodosum and/or arthritis. Antibiotic therapy had a definite effect only in the first phase of gastroenteritis and in the two possibly relapsing cases. In two of 5 patients with long standing arthritis the HL-AB 27 was present.
报告了16名成人和9名儿童的耶尔森菌感染情况。15例由假结核耶尔森菌引起，其中8例经血清学检查证实。4例可能由假结核耶尔森菌感染引起，另外3例仅为可能感染。还证实了由IV型血清型引起的实际感染。此外，有10例由小肠结肠炎耶尔森菌引起，其中3例经细菌学证实，其他经血清学检查证实。两种细菌引起相同的症状：发热（80%）、腹痛（56%）、腹泻（52%）、结节性红斑（44%）、关节炎（40%）、呕吐（16%）、体重减轻（16%）、淋巴瘤（12%）等。在儿童中，50%的结节性红斑由肠道耶尔森菌病引起。开始为肠胃炎和发热，随后大多进入第二阶段，出现回归热、腹痛、结节性红斑和/或关节炎。抗生素治疗仅在肠胃炎的第一阶段以及两例可能复发的病例中有明确效果。5例长期患有关节炎的患者中有2例存在HL-AB 27。
