Kusunoki Masayoshi, Ohta Ryuichi, Nishikura Nozomi, Sano Chiaki
Department of Emergency Medicine, Shimane Prefectural Central Hospital, Izumo, JPN.
Communiy Care, Unnan City Hospital, Unnan, JPN.
Cureus. 2022 Mar 15;14(3):e23192. doi: 10.7759/cureus.23192. eCollection 2022 Mar.
is a rare pathogen that causes yersiniosis, a foodborne disease that has become more prevalent in recent years Yersiniosis commonly causes gastrointestinal symptoms; however, bacteremia can be the primary clinical finding. Here, we report the case of an 83-year-old man who presented with fever and fatigue and was diagnosed with bacteremia. Gastrointestinal findings were absent at the time of admission. His condition was complicated by rhabdomyolysis, which was self-limiting and resolved spontaneously. This case reveals that fever may be the only clinical sign of invasive yersiniosis and that it can be complicated by rhabdomyolysis. Clinicians should consider as a potential causative pathogen in patients with a fever of unknown origin and rhabdomyolysis.
是一种罕见的病原体，可引起耶尔森菌病，这是一种近年来变得更为普遍的食源性疾病。耶尔森菌病通常会引起胃肠道症状；然而，菌血症可能是主要的临床发现。在此，我们报告一例83岁男性病例，该患者出现发热和疲劳，被诊断为菌血症。入院时未发现胃肠道症状。他的病情并发横纹肌溶解症，该病症为自限性且自行缓解。该病例表明，发热可能是侵袭性耶尔森菌病的唯一临床症状，并且可能并发横纹肌溶解症。临床医生应将其视为不明原因发热和横纹肌溶解症患者的潜在致病病原体。
