Lang G K, Knapp W, Völcker H E
Klin Monbl Augenheilkd. 1983 Feb;182(2):156-8. doi: 10.1055/s-2008-1054736.
A 13 year-old boy was admitted with a unilateral acute fibrinous iritis accompanied by a pauciarticular arthritis which had been preceded by a febrile lower urinary tract infection. The diagnosis of a Yersinia enterocolitica infection was established by significant titers of agglutinating antibodies vs. the serotypes O-I (=0:3). The differential diagnosis of the disease included infections with salmonella, shigella, campylobacter, chlamydiae and metastatic bacterial and mycotic infections as well as rheumatic diseases. Repeated observation of Yersinia enterocolitica in our uveitis patients during the last couple of years suggests that Yersinia enterocolitica is another pathogen causing acute uveitis. The clinical significance of Yersinia enterocolitica infections in ophthalmology will have to be clarified by further specific investigations.
一名13岁男孩因单侧急性纤维蛋白性虹膜炎入院，伴有少关节性关节炎，在此之前有发热性下尿路感染。通过针对O-I血清型（=0:3）的显著凝集抗体滴度确诊为小肠结肠炎耶尔森菌感染。该疾病的鉴别诊断包括沙门氏菌、志贺氏菌、弯曲杆菌、衣原体感染以及转移性细菌和真菌感染，还有风湿性疾病。在过去几年中，我们在葡萄膜炎患者中反复观察到小肠结肠炎耶尔森菌，这表明小肠结肠炎耶尔森菌是引起急性葡萄膜炎的另一种病原体。小肠结肠炎耶尔森菌感染在眼科的临床意义有待进一步的具体研究来阐明。
