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肠系膜淋巴结炎病例中的“假结核耶尔森菌”(作者译)

["Yersinia pseudotuberculosis" in a case of mesenteric lymphadenitis (author's transl)].

作者信息

Ponte M C, Valoria J M, Vega J, Soriano F, Alés J M

出版信息

An Esp Pediatr. 1978 Oct;11(10):709-14.

PMID:365033
Abstract

An eleven-year old girl's case of an inflammatory process of the right lower abdomen is described, with a positive agglutination reaction to "Y. pseudotuberculosis", serotype I-A. The surgical operation disclosed a normal coecal appendix as well as a mass of clustered ganglionar adenopathies, exclusively located in the ileo-coecal junction. Histologic findings were a pulpar and follicular hyperplasia with mastocytes accumulation and metachromatic staining of capsule and connective tissue. From homogenized ganglionar mass an agent was isolated, further identified as "Y. pseudotuberculosis" type I-A. A comment follows on the frequency of mesenteric lymphadenitis as cause of inflammatory processes of the lower right abdomen in children and the rarity of isolation of "Y. pseudotuberculosis" as etiological agent as compared with the more common "Y. enterocolitica".

摘要

本文描述了一名11岁女孩右下腹部炎症过程的病例,该病例对I-A血清型“假结核耶尔森菌”有阳性凝集反应。手术发现盲肠阑尾正常,同时在回盲部有一团聚集的淋巴结肿大。组织学检查结果为髓质和滤泡增生,伴有肥大细胞积聚以及包膜和结缔组织的异染性染色。从匀浆的淋巴结肿块中分离出一种病原体,进一步鉴定为I-A型“假结核耶尔森菌”。随后对儿童右下腹部炎症过程中肠系膜淋巴结炎作为病因的频率以及与更常见的“小肠结肠炎耶尔森菌”相比,“假结核耶尔森菌”作为病原体分离的罕见性进行了评论。

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