Journal of the Korean Pediatric Society 1995;38(2):189-194.
Published online February 15, 1995.
Yersinia pseudotuberculosis Infection Confirmed by Stool Culture in Children
Seung Nam Park2, Kyeong Mi Jung2, Ja Wook Koo2, Churl Young Chung2, Chong Rae Cho1
1Department of Clinical Pathology, College of Medicine, Inje University, Paik Hospital, Sanggye, Korea
2Department of Pediatrics, College of Medicine, Inje University, Paik Hospital, Sanggye, Korea
대변 배양검사로 확진된 소아의 Yersinia pseudotuberculosis 감염증
박승남2, 정경미2, 구자욱2, 정철영2, 조종래1
1인제대학교 의과대학 상계백병원 임상병리학교실
2인제대학교 의과대학 상계백병원 소아과학교실
Abstract
Purpose
: The clinical significance of Y. pseudotuberculosis infection has recently recognizd in various part of the world, because it can cause a wide range of clinical problems such as mesenteric lymphadenitis, septicemia, reactive arthritis, terminal ileitis, erythema nodosum, and a cute renal failure. We have experienced 19 children with Y. pseudotuberculosis infection confirmed by stool culture. Our aim in this study was to evaluate clinical charactieristics, age and sex distribution, and source of infection.
Methods
: Stools were inoculated on CIN(Cefsulodin-Irgasan-Novobiosin) agar (Difco, USA) and incubated for 48hr at 22℃ for isolation of Y. pseudotuberculosis. API 20E and VITEC were used for identification of the isolates. The antimicrobial sensitivity tests were performed by GN S(gram negative sensitive) card. Clinical characteristics were analyzed retrospectively.
Results
: Retrospective analysis of 19 children with Y. pseudotuberculosis infection who visited our hospital between Jun.1993 and Dec.1993 was performed. The most prevalent age group was 6 to 8 years(42%) and monthly distribution showed November, December, June, and July in order of frequency, respectively. The common symptoms and signs were fever(100%), abdominal pain(100%), rash(74%), s trawberry tongue(53%), vomiting(53%), diarrhea(37%), and desquamation(32%), respectively. Four cases among 9 cases showed multiple mesenteric lymph node enlargements on the abdominal ultrasonogaphy. Serogroups of the isolates from stool specimens were type 5(15/19, 79%), and type 4(4/19, 21%), respectively. Y. pseudotuberculosis was also isolated from 3 samples of untreated drinking water which was thought to be the source of infection. There were no resistance strains against Amikacin, Carbenidlin, Gentamicin, and Trimethoprim/Sulfamethoxazole in the antibiotic susceptibility tests.
Conclusion
: In this study, the antibiotic susceptibility against Y. pseudotuberculosis was excellent, although the clinical characteristics were various. We have found that untreated drinking water was an important source of this infection. Further epidemiologic study for this infec-tion should be needed.
Key Words: Yersinia pseudotuberculosis, Stool culture


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