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Bacteriemia y absceso hepático causado por Yersinia enterocolitica Bacteremia and hepatic abscess caused by Yersinia enterocolitica

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Author(s): A. Navascués | C. Gastesi | Y. Salicio | J.J. García-Irure

Journal: Anales del Sistema Sanitario de Navarra
ISSN 1137-6627

Volume: 27;
Issue: 2;
Start page: 249;
Date: 2004;
Original page

Keywords: Bacteriemia | Absceso hepático | Yersinia enterocolitica | Bacteremia | Hepatic abscess | Yersinia enterocolitica

ABSTRACT
Yersinia enterocolitica es un cocobacilo gram negativo de amplia distribución mundial cuyo reservorio natural se encuentra en una gran variedad de animales. La transmisión a los humanos se realiza principalmente a través de la vía fecal-oral aunque también se han descrito casos de transmisión a través de transfusiones sanguíneas. Su aislamiento se realiza habitualmente dentro de un cuadro gastrointestinal y rara vez produce trastornos extraintestinales como bacteriemia, abscesos, manifestaciones cutáneas, etc. Éstos se han asociado a diferentes enfermedades de base como alteraciones del metabolismo del hierro, diabetes mellitus, alcoholismo, malnutrición, tumores, terapia inmunosupresora y cirrosis. Presentamos el caso de un paciente diabético que desarrolló bacteriemia asociada a abscesso hepático por Yersinia enterocolitica.Yersinia enterocolitica is a Gram-negative coccobacillus that is distributed world-wide and whose natural reservoire is found in a great variety of animals. Transmission to humans mainly occurs through the faecal-oral path although cases have been described of transmission through blood transfusions. It is isolated within a gastro-intestinal clinical picture and it rarely produces extra-intestinal disorders such as bacteraemia, abscesses, cutaneous signs, etc. The latter have been associated with different underlying diseases such as alterations of the iron metabolism, diabetes mellitus, alcoholism, malnutrition, tumours, immunosuppressant therapy and cirrhosis. We present the case of a diabetic patient who developed bacteraemia associated with hepatic abscess due to Yersinia enterocolitica.
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