Unilateral inguinal lymphadenitis caused by Yersinia pseudotuberculosis. A case report.

Acute inguinal lymphadenitis is usually caused by lower extremity infection and sexually transmitted diseases, such as chancroid, lymphogranuloma venereum, genital herpes, or syphilis. Yersinia pseudotuberculosis is a non-spore forming, pleomorphic, non-lactose fermenting Gram negative bacillus and a member of the family Enterobacteriaceae, which is associated with diarrheal diseases. It also causes mesenteric lymphadenitis at the terminal ileum, which can be clinically indistinguishable from acute appendicitis (pseudoappendicitis). However, lymphadenitis in other regions caused by the organism is rarely reported. Herein, we report a case of a man in his 20s, who presented with unilateral inguinal lymphadenitis caused by Y. pseudotuberculosis, with discussion regarding the pathogenesis of this rare occurrence.

Japanese patients' descriptions of "the good nurse": personal involvement and professionalism.

According to recent nursing literature, virtue ethics is regaining attention as a way to establish a comprehensive nursing ethical model, which will appropriately reflect actual nursing. This study explored the characteristics of "the good nurse" as an ethical ideal from Japanese patients' perspectives. The findings described the good nurse for Japanese nursing care recipients and delineated their expectations of her or him. For Japanese patients, the good nurse was a person with personal involvement and professional comportment. The study revealed the participants' perspectives of the importance of person-to-person relationships between nurses and patients, and of nurses' professional disposition and competency.