Yersinia colitis masquerading as pseudomembranous colitis

We describe a 15-month-old male who presented with fever and diarrhea 24 hr after receiving antibiotics for otitis media. A flexible sigmoidoscopy was initially interpreted endoscopically as antibiotic-associated pseudomembranous colitis, and the patient was treated with vancomycin. The diagnosis of...

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Bibliographic Details
Published in:Digestive diseases and sciences 1986-05, Vol.31 (5), p.548-551
Main Authors: BROWN, R, TEDESCO, F. J, ASSAD, R. T, RAGHUNATHA RAO
Format: Article
Language:English
Subjects:
Bacterial diseases
Bacterial diseases of the digestive system and abdomen
Biological and medical sciences
Colitis - diagnosis
Colitis - pathology
Diagnosis, Differential
Enterocolitis, Pseudomembranous - diagnosis
Enterocolitis, Pseudomembranous - pathology
Human bacterial diseases
Humans
Infant
Infectious diseases
Male
Medical sciences
Yersinia Infections - diagnosis
Yersinia Infections - pathology
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Summary:We describe a 15-month-old male who presented with fever and diarrhea 24 hr after receiving antibiotics for otitis media. A flexible sigmoidoscopy was initially interpreted endoscopically as antibiotic-associated pseudomembranous colitis, and the patient was treated with vancomycin. The diagnosis of antibiotic-associated colitis was excluded in our patient by the negative stool examination for Clostridium difficile toxin, the failure to obtain supportive features on rectal biopsy, and the failure to demonstrate sigmoidoscopic improvement with vancomycin therapy. Thirteen days later, Y. enterocolitica was cultured from the initial stool specimens. In this case, the raised central whitish area on an erythematous base was misinterpreted as pseudomembranous colitis.
ISSN:0163-2116
1573-2568
DOI:10.1007/BF01320324