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An Outbreak of Yersinia pseudotuberculosis Infection.

Journal of the Korean Pediatric Society 1990;33(3):341-350.
Published online March 31, 1990.
An Outbreak of Yersinia pseudotuberculosis Infection.
Hong Jong Joo, Keun Hee Chung, Yoo Mee Kim, Soon Gi Kim, Moon Soo Park, Jin Keun Chang, Sung Woo Shin
Department of Pediatrics, Han II Hospital, Seoul Korea
Yersinia Pseudotuberculosis 감염증의 집단발생 一외국 사례와의 비교 분석 고찰一
주홍종, 정근희, 김유미, 김순기, 박문수, 장진근, 신성우
한일병원 소아과
Received: 30 September 1989   • Accepted: 30 September 1989
Abstract
We experienced one outbreak of Yersinia pseudtuberculosis infection that had not been reported in our country. In May, 1988, an outbreak of acute infection with symptoms suggestive of Yersinia pseudotuber- culosis infection occurred among a middle school students in No-Won-Gu, Seoul. Two hundreds and fifteen students went on a picnic at the Mt. Surak in No-Won-Gu on 13th May, 1988. Fifty of 95 students who drank water from one mountain spring developed symptoms and signs. Main symptoms and signs were fever (94%), abdominal pain (76%), headache (72%), diarrhea (62%), nausea or vomiting (44%), skin rash (40%), arthralgia (34%), strawberry tongue (22%), desquamation (20%), cough (16%), conjunctival injection (8%) and acute renal failure (2%) in one case. Titer of agglutinating antibody against Yersinia pseudotuberculosis was checked in two patients. The result showed 1:20 and 1:160 in one patienfs paired serum, and 1:40 in the other. Serotype was lb in both. Though we couldn’t isolate Yersinia pseudotuberculosis from the mountain water, we suspected that mountin water as the source of infection on the base of epidemiological survey.
Key Words: Outbreak, Yersinia pseudotuberculosis


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