Waldschmidt J
Prog Pediatr Surg. 1978;11:97-105.
The clinical symptoms of infections with Y. ent. and pseudotub. are of a different nature. Whether the infection becomes apparent in form of a pseudo-appendicitis, enterocolitis or a typho-septic disease does apparently not only depend on the type of pathogens but also on the children's condition with regard to their resistance. All forms mentioned are observed in case of infections with Yersinia pseudotuberculosis as well as in case of infections with Yersinia pseudotuberculosis as well as in case of infections with Yersinia enterocolitica. However, infections with Yersinia enterocolitica seem to have more frequently a chronic course and to be accompanied by conjunctivitis, arthritis and skin diseases. For the subacute and the chronic forms of the disease, a specific treatment is not necessary in most cases. Severe enterocolitis and septicemia, however, need an antibiotic therapy besides the symptomatic therapy. The best antibiotics for an infection with Yersinia enterocolitica still seem to be the tetracyclines and leucomycine, for an infection with Yersinia pseudotuberculosis also the cephalosporines, ampicilline and carbenicilline.
小肠结肠炎耶尔森菌和假结核耶尔森菌感染的临床症状性质不同。感染是以伪阑尾炎、小肠结肠炎还是伤寒型败血症的形式表现出来，显然不仅取决于病原体类型，还取决于儿童的抵抗力状况。上述所有形式在感染假结核耶尔森菌以及小肠结肠炎耶尔森菌时均有观察到。然而，小肠结肠炎耶尔森菌感染似乎更常呈慢性病程，并伴有结膜炎、关节炎和皮肤病。对于该疾病的亚急性和慢性形式，大多数情况下无需特殊治疗。然而，严重的小肠结肠炎和败血症除对症治疗外还需要抗生素治疗。对于小肠结肠炎耶尔森菌感染，最佳抗生素似乎仍是四环素和白霉素；对于假结核耶尔森菌感染，头孢菌素、氨苄青霉素和羧苄青霉素也适用。
