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Yersinia infection and acute abdominal pain

Yersinia infection and acute abdominal pain
Yersinia infection and acute abdominal pain
In 194 patients presenting with acute abdominal pain from whom sequential serum samples were taken, the frequency of yersiniosis, established serologically, was significantly higher (23%) than in 320 control subjects (2%). Yersiniosis occurred in 31% of patients with acute appendicitis. Acute-phase serum samples only, obtained in a further 307 patients, yielded a falsely low frequency of yersiniosis (4%). Y pseudotuberculosis was five times more common than Y enterocolitica, and Y pseudotuberculosis type IV was the most common serotype, accounting for 43% of Yersinia infections. Yersinia may play a more important part in the aetiology of acute abdominal pain, and particularly acute appendicitis, than has been previously appreciated. Antibody titres to both Y enterocolitica and Y pseudotuberculosis frequently rise late in infections causing abdominal pain. Consequently analysis of acute-phase serum samples alone leads to underdiagnosis of yersiniosis.
0140-6736
529-533
Attwood, S.E.A.
20c2000b-5178-4a45-a6d3-9c2bee728f39
Mealy, K.
d1cc757f-c9b8-4f41-9dc3-8e102899fd68
Cafferkey, Mary T.
245041f0-00ff-46f6-a541-e0c8ab0d5a3d
Buckley, T.F.
a43f93a0-6c08-4380-a657-2e19cea42ac0
West, A.B.
74264250-ce8e-4c4c-a1e7-cb9d9298360f
Boyle, N.
372a01b6-a8ad-4966-bfb3-1d733a1fc920
Healy, E.
400fc04d-f81a-474a-ae25-7ff894be0ebd
Keane, F.B.V.
efea3fc7-f88d-4f48-9481-75d44adf1599
Attwood, S.E.A.
20c2000b-5178-4a45-a6d3-9c2bee728f39
Mealy, K.
d1cc757f-c9b8-4f41-9dc3-8e102899fd68
Cafferkey, Mary T.
245041f0-00ff-46f6-a541-e0c8ab0d5a3d
Buckley, T.F.
a43f93a0-6c08-4380-a657-2e19cea42ac0
West, A.B.
74264250-ce8e-4c4c-a1e7-cb9d9298360f
Boyle, N.
372a01b6-a8ad-4966-bfb3-1d733a1fc920
Healy, E.
400fc04d-f81a-474a-ae25-7ff894be0ebd
Keane, F.B.V.
efea3fc7-f88d-4f48-9481-75d44adf1599

Attwood, S.E.A., Mealy, K., Cafferkey, Mary T., Buckley, T.F., West, A.B., Boyle, N., Healy, E. and Keane, F.B.V. (1987) Yersinia infection and acute abdominal pain. The Lancet, 329 (8532), 529-533. (doi:10.1016/S0140-6736(87)90175-9). (PMID:2881083)

Record type: Article

Abstract

In 194 patients presenting with acute abdominal pain from whom sequential serum samples were taken, the frequency of yersiniosis, established serologically, was significantly higher (23%) than in 320 control subjects (2%). Yersiniosis occurred in 31% of patients with acute appendicitis. Acute-phase serum samples only, obtained in a further 307 patients, yielded a falsely low frequency of yersiniosis (4%). Y pseudotuberculosis was five times more common than Y enterocolitica, and Y pseudotuberculosis type IV was the most common serotype, accounting for 43% of Yersinia infections. Yersinia may play a more important part in the aetiology of acute abdominal pain, and particularly acute appendicitis, than has been previously appreciated. Antibody titres to both Y enterocolitica and Y pseudotuberculosis frequently rise late in infections causing abdominal pain. Consequently analysis of acute-phase serum samples alone leads to underdiagnosis of yersiniosis.

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Published date: 7 March 1987
Organisations: Clinical & Experimental Sciences

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Local EPrints ID: 334008
URI: http://eprints.soton.ac.uk/id/eprint/334008
ISSN: 0140-6736
PURE UUID: 5bd41824-f633-4aaa-9309-a2b97105f4d3

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Date deposited: 14 Mar 2012 14:14
Last modified: 14 Mar 2024 10:32

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Contributors

Author: S.E.A. Attwood
Author: K. Mealy
Author: Mary T. Cafferkey
Author: T.F. Buckley
Author: A.B. West
Author: N. Boyle
Author: E. Healy
Author: F.B.V. Keane

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