Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus

Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus

Infection with Yersinia enterocolitica (YE) typically presents with mild gastroenteritis without systemic infection. However, systemic YE infection has been described in states of iron overload. We present the case of a patient with sepsis with hepatic abscesses due to YE infection. Workup revealed...

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Main Authors: Matthias Sauter, Stephan R. Vavricka, Pascal Locher, Benjamin Preiswerk, Dominik Weishaupt, Christoph A. Meier, Benjamin Misselwitz
Format: Article
Language:English
Published: Karger Publishers 2017-11-01
Series:Case Reports in Gastroenterology
Subjects:
Hepatic abscess
Yersinia enterocolitica
Sepsis
Hemochromatosis
Iron overload
Online Access:https://www.karger.com/Article/FullText/481932
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spelling doaj-5783e507b2a547fb9b4a2a58b5e2785f2020-11-24T22:55:59ZengKarger PublishersCase Reports in Gastroenterology1662-06312017-11-0111372472810.1159/000481932481932Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes MellitusMatthias SauterStephan R. VavrickaPascal LocherBenjamin PreiswerkDominik WeishauptChristoph A. MeierBenjamin MisselwitzInfection with Yersinia enterocolitica (YE) typically presents with mild gastroenteritis without systemic infection. However, systemic YE infection has been described in states of iron overload. We present the case of a patient with sepsis with hepatic abscesses due to YE infection. Workup revealed a past diagnosis of diabetes mellitus and hemochromatosis which had been untreated for the previous 5 years due to patient refusal. This case highlights risk factors for systemic infection with YE. A high degree of suspicion for YE infection is warranted in patients with iron overload, diabetes mellitus, or immunosuppression.https://www.karger.com/Article/FullText/481932Hepatic abscessYersinia enterocoliticaSepsisHemochromatosisIron overload
collection DOAJ
language English
format Article
sources DOAJ
author Matthias Sauter
Stephan R. Vavricka
Pascal Locher
Benjamin Preiswerk
Dominik Weishaupt
Christoph A. Meier
Benjamin Misselwitz
spellingShingle Matthias Sauter
Stephan R. Vavricka
Pascal Locher
Benjamin Preiswerk
Dominik Weishaupt
Christoph A. Meier
Benjamin Misselwitz
Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
Case Reports in Gastroenterology
Hepatic abscess
Yersinia enterocolitica
Sepsis
Hemochromatosis
Iron overload
author_facet Matthias Sauter
Stephan R. Vavricka
Pascal Locher
Benjamin Preiswerk
Dominik Weishaupt
Christoph A. Meier
Benjamin Misselwitz
author_sort Matthias Sauter
title Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_short Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_full Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_fullStr Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_full_unstemmed Multilocular Hepatic Abscess Formation and Sepsis due to Yersinia enterocolitica in a Patient with Hereditary Hemochromatosis and Type 2 Diabetes Mellitus
title_sort multilocular hepatic abscess formation and sepsis due to yersinia enterocolitica in a patient with hereditary hemochromatosis and type 2 diabetes mellitus
publisher Karger Publishers
series Case Reports in Gastroenterology
issn 1662-0631
publishDate 2017-11-01
description Infection with Yersinia enterocolitica (YE) typically presents with mild gastroenteritis without systemic infection. However, systemic YE infection has been described in states of iron overload. We present the case of a patient with sepsis with hepatic abscesses due to YE infection. Workup revealed a past diagnosis of diabetes mellitus and hemochromatosis which had been untreated for the previous 5 years due to patient refusal. This case highlights risk factors for systemic infection with YE. A high degree of suspicion for YE infection is warranted in patients with iron overload, diabetes mellitus, or immunosuppression.
topic Hepatic abscess
Yersinia enterocolitica
Sepsis
Hemochromatosis
Iron overload
url https://www.karger.com/Article/FullText/481932
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AT stephanrvavricka multilocularhepaticabscessformationandsepsisduetoyersiniaenterocoliticainapatientwithhereditaryhemochromatosisandtype2diabetesmellitus
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