Department of Dermatology, St Luke's International Hospital, Chuo-ku, Tokyo, Japan.
J Dermatol. 2010 Sep;37(9):819-22. doi: 10.1111/j.1346-8138.2010.00892.x.
We report a 74-year-old woman who presented to hospital with fever, vomiting, diarrhea, and 2 weeks later developed erythema nodosum (EN) on the legs, and was diagnosed with Yersinia enterocolitica infection based on her clinical course and microbiological examination of the stool. She also had a complication of pancreatitis, which made the diagnosis challenging. We should suspect infection by Y. enterocolitica when diagnosing cases of EN with gastrointestinal symptoms. We assume EN is likely to appear 2 weeks after the onset of gastrointestinal symptoms from our case and other case reports.
我们报告了一例 74 岁女性,因发热、呕吐、腹泻就诊,2 周后腿部出现结节性红斑(EN),根据其临床病程和粪便微生物检查诊断为耶尔森氏菌肠炎感染。她还伴有胰腺炎并发症,这使得诊断具有挑战性。当诊断有胃肠道症状的 EN 病例时,我们应怀疑耶尔森氏菌感染的可能性。根据我们的病例和其他病例报告,我们推测 EN 可能在胃肠道症状出现后 2 周出现。