Yersinia enterocolitica에 의한 장간막 림프절염 - 1예 보고 -
Mesenteric Lymphadenitis Due to Yersinia enterocolitica - A case report -
대한병리학회지 2000년 34권 12호 p.1022 ~ 1024
신향미, 정화숙, 왕현덕, 이영돈, 성로현,
소속 상세정보
신향미 ( Shin Hyang-Mi )
충북대학교 의과대학 병리학교실
정화숙 ( Jeong Hwa-Sook )
한국병원 진단병리과
왕현덕 ( Wang Hyun-Dug )
한국병원 외과
이영돈 ( Lee Young-Don )
한국병원 소아과
성로현 ( Sung Ro-Hyun )
충북대학교 의과대학 병리학교실
KMID : 0357920000340121022
Abstract
Mesenteric lymphadenitis due to Yersinia enterocolitica infection is not common in Korea. Although most cases of Yersinia enterocolitica-induced mesenteric adenitis are self limited, cardinal features of Yersinia enterocolitica-induced mesenteric adenitis are so similar to those of acute appendicitis that some of the patients undergo laparotomy with suspected appendicitis. The findings on laparotomy in such patients are usually enlarged mesenteric nodes with a normal or slightly inflamed appendix. Because histologic examination of the removed mesenteric lymph nodes reveals reactive hyperplasia in most cases, it is usually difficult to suspect Yersinia enterocolitica infection on morphology of the resected nodes. But suppurative granulomata of mesenteric lymph nodes, uncommonly encountered in Yersinia enterocolitica infection, strongly suggest yersinial infection. We report a case of mesenteric lymphadenitis in a 10-year-old boy, who underwent laparotomy with suspected acute appendicitis. The removed lymph node showed several suppurative granulomata in the cortex, suggesting yersinial infection. Serologic study confirmed Yersinia enterocolitica serotype O:3 infection.
키워드
Yersinia enterocolitica;Mesenteric lymphadenitis;Suppurative granuloma
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