[Terminal ileitis due to Yersinia enterocolitica: differential diagnosis with Crohn´s disease in a 12-year-old male]

Arch Argent Pediatr. 2020 Apr;118(2):e191-e193. doi: 10.5546/aap.2020.e191.
[Article in Spanish]

Abstract

Yersinia enterocolitica is a gram-negative rod causing intestinal infection in humans. It shows different clinical pictures with many different etiologies to be ruled-out, which sometimes makes it difficult to reach a timely and correct diagnosis. We report the case of an adolescent boy presenting with right lower quadrant pain from terminal ileitis with endoscopic findings akin to Crohn´s disease finally diagnosed as Yersinia enterocolitica, highlighting the usefulness of the different ancillary methods employed.

Yersinia enterocolitica es un bacilo Gram-negativo causante de infección intestinal en los humanos. Se presenta con diferentes cuadros clínicos que obligan a descartar una variedad de etiologías, lo cual, a veces, hace difícil alcanzar un diagnóstico correcto en forma oportuna. Se expone el caso de un varón adolescente con dolor en la fosa ilíaca derecha a partir de una ileítis terminal con hallazgos similares a la enfermedad de Crohn, que se diagnosticó, finalmente, como infección por Yersinia enterocolitica. Se destaca la utilidad de los diferentes métodos auxiliares empleados.

Keywords: Crohn´s disease; Yersinia enterocolitica; child; terminal ileitis.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Crohn Disease / diagnosis*
  • Diagnosis, Differential
  • Humans
  • Ileitis / diagnosis*
  • Ileitis / microbiology
  • Male
  • Yersinia Infections / diagnosis*
  • Yersinia enterocolitica / isolation & purification*