Y. pseudotuberculosis causes disease primarily in rodents, particularly guinea pigs, tut
the human infections have recently been increasingly recognized. There are two clinical
patterns of human infection with Y. pseudotuberculosis. The more common form
presents as mesenteric lymphadenitis, the second form occurs less commonly, presents
an acute septic course and usually end fatally. There have been two reported cases of
the septic form in Korean literature and we here report a case of Y. pseudotuberculosis
septicemia.
A 67-year-old male patient with underlying liver disease presented mild abdominal
pain for 5months followed by abrupt fever and disorientation 5days prior to admission.
The organism isolated from blood culture showed quitecharacteristic morphology on
blood agar plate after 36hours of incubation; raised colonies with opaque center and
lighter margin with serration. The biochemical properties of the isolated organisms were
consistent with other reports. Antibiotic susceptibility test showed sensitivity to
chloramphenicol, ampicillin, cephalothin, tetracycline, kanamycin, amikacin, carbenicillin,
and tobramycin.
|