Yersinia pseudotuberculosis is a rare pathogen that causes yersiniosis, a foodborne disease that has become more prevalent in recent years. Yersiniosis commonly causes gastrointestinal symptoms; however, bacteremia can be the primary clinical finding. Here, we report the case of an 83-year-old man who presented with fever and fatigue and was diagnosed with Y. pseudotuberculosis bacteremia. Gastrointestinal findings were absent at the time of admission. His condition was complicated by rhabdomyolysis, which was self-limiting and resolved spontaneously. This case reveals that fever may be the only clinical sign of invasive yersiniosis and that it can be complicated by rhabdomyolysis. Clinicians should consider Y. pseudotuberculosis as a potential causative pathogen in patients with a fever of unknown origin and rhabdomyolysis.
Keywords: foodborne disease; primary care; rhabdomyolysis; rural hospital; yersinia pseudotuberculosis; yersiniosis.
Copyright © 2022, Kusunoki et al.