Yersiniosis

Yersiniosis: Complications

The following are the most important diseases or complications that may be contributed to by yersiniosis: Skin and subcutaneous (L00-L99). Erythema nodosum (synonyms: nodular erysipelas, dermatitis contusiformis, erythema contusiforme; plural: erythemata nodosa) – granulomatous inflammation of the subcutis (subcutaneous fat), also known as panniculitis, and painful nodulation (red to blue-red color; later brownish). The overlying … Yersiniosis: Complications

Yersiniosis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye) [due topossible sequelae: erythema nodosum (nodular erythema), localization: both extensor sides of the lower leg, on … Yersiniosis: Examination

Yersiniosis: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Pathogen detection by culture (stool sample, blood, lymph node biopsy). Antibody detection of vers. Serotypes Direct or indirect detection of Yersinia enterocolitica (intestinal pathogen) must be reported if the evidence indicates acute infection (Law on Prevention and Control of Infectious Diseases in Humans). 2nd order laboratory parameters … Yersiniosis: Test and Diagnosis

Yersiniosis: Medical History

Medical history (history of illness) represents an important component in the diagnosis of yersiniosis. Family history What is the general health of your family members? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Do you suffer from diarrhea? If so, for how long? What does the diarrhea look like? … Yersiniosis: Medical History

Yersiniosis: Drug Therapy

Therapeutic targets Rehydration (fluid balance). Elimination of pathogens Avoidance of complications Therapy recommendations Antibiotics should be avoided. As a rule, the course is self-limiting, i.e., ending without external influences. Antibiosis (ciprofloxacin (fluoroquinolones), first-line agent; doxycycline, if necessary) is recommended only for the following indication: Severe courses with impending sepsis. Symptomatic therapy including fluid replacement – … Yersiniosis: Drug Therapy

Yersiniosis: Diagnostic Tests

Obligatory medical device diagnostics. Abdominal ultrasonography (ultrasound examination of the abdominal organs) – for basic diagnosis. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnosis. Electrocardiogram (ECG; recording of the electrical activities of the heart muscle). Echocardiography (echo; cardiac … Yersiniosis: Diagnostic Tests

Yersiniosis: Prevention

To prevent yersiniosis, attention must be paid to reducing risk factors. Behavioral risk factors Consumption of raw pork and pork-derived products; contamination of other foods by kitchen utensils possible. Playing in the sandbox Contact with birds

Yersiniosis: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate yersiniosis: General feeling of illness Fever Nausea (nausea)/vomiting Diarrhea (diarrhea) Abdominal pain (abdominal pain) – “pseudoappendicitis” in adolescents with discomfort in the right lower abdomen. Tenesmus – painful urge to defecate Reactive lymphadenitis (lymphadenitis) of the lymph nodes in the abdomen.

Yersiniosis: Causes

Pathogenesis (disease development) In Yersinia enterocolica, the serogroups O:3, O:5, O:8, O:9 can be distinguished. O:3 is responsible for approximately 90% of infections. The pathogen reservoir is various animals, but pigs are considered the main reservoir for the human pathogenic serotypes. Transmission occurs mainly through contaminated food, mainly of animal origin, and contaminated drinking water. … Yersiniosis: Causes

Yersiniosis: Therapy

General measures Observance of the general hygiene measures! In the occurrence of fever: Bed rest and physical rest (even if fever is only mild; if limb pain and lassitude occur without fever, bed rest and physical rest is also required, because myocarditis/heart muscle inflammation could occur as a result of the infection). Fever below 38.5 … Yersiniosis: Therapy