Novembre 2007 - Volume XXVI - numero 9

Medico e Bambino


Pagine elettroniche ; Caso Contributivo

Yersinia enterocolitica: diagnosi differenziale
con appendicite, adenomesenterite e mici

E. Miorin1, P. Aragona2, F. Colonna1

1SC di Pediatria, Ospedale di San Vito al Tagliamento (PN), ASS6 “Friuli Occidentale”;
2Laboratorio di Analisi e Microbiologia, Ospedale di San Vito al Tagliamento (PN), ASS6 “Friuli Occidentale”

Indirizzo per corrispondenza: pediatria.sanvito@ass6.sanita.fvg.it

YERSINIA ENTEROCOLITICA: DIFFERENTIAL DIAGNOSIS WITH APPENDICITIS, MESENTERIC ADENITIS AND INFLAMMATORY BOWEL DISEASE

Key words: Yersinia enterocolitica, Enteritis, Pseudo-appendicular syndrome, IIeitis

We report a case of a 11-year old boy with Yersinia enterocolitica (YE) enteritis mimicking initially acute appendicitis. The following clinical course was characterized by persistent periciecal adenitis associated with elevated levels of inflammatory indices, leading to consider the diagnosis of chronic inflammatory bowel disease. The diagnosis of YE infection was made by positive stool culture. The patient’s clinical situation spontaneously improved and antibiotic treatment was not necessary. YE infection is thought to be relatively infrequent in general population. The clinical spectrum of YE may range from a self limited enteritis, mesenteric adenitis, pseudoappendicitis, ileocolitis, to extraintestinal manifestations and post-infectious reactions, such as nodosum erythema. This case-report suggests to consider the diagnosis of YE infection in case of persistent mesenteric adenitis or terminal ileitis.

Vuoi citare questo contributo?

E. Miorin, P. Aragona, F. Colonna
Yersinia enterocolitica: diagnosi differenziale
con appendicite, adenomesenterite e mici
Medico e Bambino 2007;26(9):597-598 https://www.medicoebambino.com/?id=0709_597.pdf

Pagine elettroniche ; Caso Contributivo

Anemia emolitica autoimmune in un bambino
di 7 anni con colite ulcerosa

C. Brondello, M. Lorusso, E. Pozzi, F. Bronzini, F. Mangiantini, M. de Martino, P. Lionetti

Prima Clinica Pediatrica, Ospedale Meyer, Firenze

Indirizzo per corrispondenza: paolo.lionetti@unifi.it

AUTOIMMUNE HEMOLYTIC ANEMIA IN A 7-YEAR OLD PATIENT WITH ULCERATIVE COLITIS

Key words: Autoimmune hemolytic anemia, Ulcerative colitis, Cyclosporine, Azathioprine, Mesalazine

We report a case of a 7 year-old patient with a 4-year history of severe steroid-refractory Ulcerative Colitis (UC) which had been controlled with cyclosporine and azathioprine, who was admitted to our Clinic because of jaundice. At time of admission mild intestinal bleeding was occasionally present on azathioprine and mesalazine. Investigations revealed hyperbilirubinemia, Coombs-positive haemolytic anemia (AIHA) (Hb 7.5 g/dl). IVIG (1 g/kg/day for 3 days) and oral prednisone (2 mg/kg/day) were prescribed with clinical improvement. Four weeks later, while on oral steroids (1 mg/kg/day) and azathioprine, a new haemolytic crisis occurred (Hb 6.7 g/dl) refractory to IVIG (1 g/kg/day for 3 days) and metylprednisolone pulses. Colonoscopy showed active mucosal lesions. Oral cyclosporine was then introduced with complete remission of GI bleeding and partial improvement of AIHA; after 6 months, controlled chronic haemolisis and positive Coombs test persist with mild anaemia.

Vuoi citare questo contributo?

C. Brondello, M. Lorusso, E. Pozzi, F. Bronzini, F. Mangiantini, M. de Martino, P. Lionetti
Anemia emolitica autoimmune in un bambino
di 7 anni con colite ulcerosa
Medico e Bambino 2007;26(9):597-598 https://www.medicoebambino.com/?id=0709_597.pdf


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