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Yersinia Enterocolitica, Pediatric

Camille Sabella, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Yersinia enterocolitica is a gram-negative bacillus that produces an enteric infection characterized by fever, diarrhea, and abdominal pain that may mimic acute appendicitis. 

EPIDEMIOLOGY

DIAGNOSIS

Diagnosis depends on elucidation of the pertinent exposure history as well as recognition of typical symptoms and laboratory testing. 

HISTORY

  • Enterocolitis is the most common manifestation of...

TREATMENT

GENERAL MEASURES

The benefit of treatment of uncomplicated enterocolitis, mesenteric adenitis, or pseudoappendicitis has not been established in immunocompetent hosts. 

MEDICATION

  • Antimicrobial...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Symptoms of enterocolitis usually abate within 2 weeks of the onset of illness.

  • Shedding of the organism in stool can last >6 weeks after diagnosis.

  • For extraint...

ADDITIONAL READING

  • Abdel-Haq NM, Asmar BI, Abuhammour WM, et al. Yersinia enterocolitica infection in children. Pediatr Infect Dis J.  2000;19(10):954–958. [View Abstract on OvidInsights]

  • American...

CODES

ICD9

  • 027.8 Other specified zoonotic bacterial diseases

  • 005.89 Other bacterial food poisoning

ICD10

  • A04.6 Enteritis due to Yersinia enterocolitica

  • A05.8 Other specified bacterial foodborne intoxicatio...

FAQ

  • Q: How long is a child considered infectious with Y. enterocolitica?

  • A: Although the typical course of enterocolitis is ~14 days, shedding of the organism in the stool can last 6 weeks or longer. S...

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