Resumo

AROCENA, Carolina; GALAZKA, Jeannette; PICON, Teresa  e  GIACHETTO, Gustavo. Apendicitis aguda, bacteriemia y artritis: manifestaciones de infección por Yersinia enterocolitica en un adolescente . Arch. Pediatr. Urug. [online]. 2012, vol.83, n.3, pp.185-188. ISSN 1688-1249.

Summary  Yersinia enterocolitica produces a wide spectrum of clinical manifestations. In infants and young children, the most common presentation is acute diarrhea. In elder children and adolescents a typical manifestation is a seudoapendicular syndrome due to terminal ileitis and/or mesenteric adenitis. Postinfectious complications of immunoallergic mechanism were also described. We present a case of a 15 year old adolescent who underwent surgery with the diagnosis of acute appendicitis. In the evolution he reinstalls fever and right elbow arthritis. Y. Enterolocitica vas isolated in blood culture. We review the pathogenesis and clinical manifestations of the infection by this agent and discuss the possible mechanism of articular complication.

Palavras-chave : APPENDICITIS; BACTEREMIA; ARTHRITIS; YERSINIA ENTEROCOLITICA; ILEITIS.

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