Nonplague Yersinial Infections

Definition

  • Yersiniosis is an uncommon bacterial zoonosis.
  • Caused primarily by infection with either of 2 enteropathogenic Yersinia species
    • Y. enterocolitica
    • Y. pseudotuberculosis
  • Most common acute clinical manifestations
    • Enteritis or enterocolitis with self-limited diarrhea (especially with Y. enterocolitica)
    • Mesenteric adenitis and terminal ileitis (especially with Y. pseudotuberculosis)
      • Can be confused with acute appendicitis
    • Nonsuppurative, extraintestinal, inflammatory sequelae, such as reactive arthritis and erythema nodosum
  • Other species associated with enteritis or enterocolitis in humans (particularly immunocompromised adults)
    • Y. intermedia
    • Y. frederiksenii
    • Y. kristensenii
    • Little is known about pathogenicity, public health importance, or clinical management.

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