Baier R, Puppel H, Hein J
Dtsch Med Wochenschr. 1977 Jan 14;102(2):55-8.
Yersinia enterocolitica (serotype 3 of Winblad, or O-group 1 of Knapp) was isolated from two blood cultures of a 52-year-old patient with chronic hepatitis, pancytopenia and paroxysmal nocturnal haemoglobinuria who had been hospitalised because of septic temperatures and chills. The serum-agglutinin titre was 1:10.000 both against the isolated strain and a reference strain (MyO; serotype 3). The titre had decreased to 1:2.500 and 1:640, respectively, in serum samples taken ten and 40 days later. The causative organism was not isolated from stool specimens, but the patient had been treated with antibiotics. Strains identical biochemically, serologically and by lysotypi-g were found in the stool specimens of the patient's wife and dog. The agglutinin titres were 1:320 in the wife and 1:20 in the dog. A son, who was living in the same house, had a negative stool culture and serology.
从一名52岁患有慢性肝炎、全血细胞减少症和阵发性夜间血红蛋白尿的患者的两份血培养物中分离出小肠结肠炎耶尔森菌（温布拉德血清型3，或克纳普O群1）。该患者因败血症发热和寒战入院。针对分离菌株和参考菌株（MyO；血清型3）的血清凝集素滴度均为1:10000。在10天和40天后采集的血清样本中，滴度分别降至1:2500和1:640。致病微生物未从粪便标本中分离出来，但该患者已接受抗生素治疗。在患者妻子和狗的粪便标本中发现了在生化、血清学和溶菌型方面相同的菌株。妻子的凝集素滴度为1:320，狗的凝集素滴度为1:20。住在同一所房子里的一个儿子粪便培养和血清学检查均为阴性。
