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A Clinical Study of Serologically Diagnosed Yersinia Pseudotuberculosis Infection in Children

Journal of the Korean Pediatric Society 1994;37(1):26-32.
Published online January 15, 1994.
A Clinical Study of Serologically Diagnosed Yersinia Pseudotuberculosis Infection in Children
Mi Won Kim, Youn Jeong Jeong, Yong Kyu Lee, Jeong Wan Seo, Jin Keun Chang, Hoan Jong Lee
Department of Pediatrics, Han Il General Hospital, Seoul, Korea
혈청학적으로 진단된 Yersinia Pseudotuberculosis 감염소아 23례
김미원, 정연정, 이용규, 서정완, 장진근, 이환종
한일병원
Abstract
A retrospective analysis of clinical findings in 23 patients with Y. pseudotuberculosis infection who visited Department of Pediatrics of Han Il Hospital from May, 1990 to June, 1992 was performed. 1)The most prevalent age group was 7 to 12 years (16 case:69.6) and male-to-female ratio was 1.1:1. 2) Monthly distribution showed a high frequency in April, May and June(22 cases:95.8%) 3)The common symptoms were fever(23 cases:100%), abdominal pain (18 cases:78.3%) vomiting (16 cases:69.6%), diarrhea (13 cases:56.7%), rash (13 cases:56.5%) and acute renal failure (6 cases:26.1%) in order of frequency, respectively. 4)The laboratory findings were anemia (17.4%), WBC>1x104/mm3(73.9%), ESR>20mm/hr(901.3%), CRP >3+(91.3%). Positive Widal test (13.0%), BUN>20mg/dl(26.1%) and creatinine>1.2mg/dl(26.1%). 5)The most common serotype was 4a (30.4%), followed by 4b, 5b, 2b, 2c, 5a, 1b, 1a, 6 in order of frequency. The results suggest that Yersinia Y. pseudotuberculosis infection is one of the important causes of fever, eruptive skin disease and acute renal failure in Korean children and further studies including epidemiology, pathogenesis, etc, are needed.
Key Words: Yersinia pseudotuberculosis


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