Kohl S
Pediatr Clin North Am. 1979 May;26(2):433-43. doi: 10.1016/s0031-3955(16)33715-4.
Y. enterocolitica has been increasingly associated with a wide range of age-related clinical manifestations in children and adults, including febrile gastroenteritis, pseudoappendicitis, arthritis, sepsis, and focal suppurative disease. Although definite patterns of incidence, prevalence, transmission, and pathophysiology are emerging, much remains to be explained. The alert clinician who notifies his clinical laboratory colleagues that special isolation techniques are required to recover this organism from stool samples, and who submits mesenteric lymph nodes for bacteriologic examination in cases of mesenteric adenitis, will aid attempts to further delineate the significance of this emerging pathogen in the United States. Therapy depends on the form and severity of illness and must be guided by in vitro sensitivity, pending animal and epidemiologic studies.
小肠结肠炎耶尔森菌越来越多地与儿童和成人中一系列与年龄相关的临床表现相关，包括发热性胃肠炎、假性阑尾炎、关节炎、败血症和局灶性化脓性疾病。尽管发病率、患病率、传播和病理生理学的明确模式正在显现，但仍有许多有待解释。警惕的临床医生通知其临床实验室同事，从粪便样本中分离出这种病原体需要特殊的分离技术，并在肠系膜腺炎病例中提交肠系膜淋巴结进行细菌学检查，这将有助于进一步明确这种新出现的病原体在美国的意义。治疗取决于疾病的形式和严重程度，在动物和流行病学研究之前，必须以体外敏感性为指导。
