RESUMO
Yersinia enterocolitica infection presents a wide clinical spectrum; in infants and young children it usually presents as uncomplicated acute diarrhea, while in older children and adolescents it more frequently presents as terminal ileitis and/or mesenteric adenitis. We describe two infants who developed terminal ileitis complicating Y. enterocolitica infection, which is exceptionally rare. The clinical, laboratory and radiologic findings are described and ultrasound study is emphasized as a simple and reliable tool for investigation of terminal ileitis.
Assuntos
Doença de Crohn/microbiologia , Yersiniose/diagnóstico , Yersinia enterocolitica , Doença de Crohn/diagnóstico , Humanos , Lactente , MasculinoRESUMO
Dentro del amplio espectro clínico de la infección por Yersinia enterocolitica, en los lactantes y niños pequeños la manifestación más frecuente es la diarrea aguda que cursa sin complicaciones. En los niños mayores y adolescentes suele presentarse con más frecuencia como una ileítis terminal y/o adenitis mesentérica. Se presentan dos casos de ileítis terminal durante una infección por Y. enterocolitica en lactantes, hecho excepcional en la literatura médica, y se describen los datos clínicos y exámenes complementarios más relevantes, entre los que destaca la ecografía, prueba fiable y sencilla, que nos documenta dicha afectación
Yersinia enterocolitica infection presents a wide clinical spectrum; in infants and young children it usually presents as uncomplicated acute diarrhea, while in older children and adolescents it more frequently presents as terminal ileitis and/or mesenteric adenitis. We describe two infants who developed terminal ileitis complicating Y. enterocolitica infection, which is exceptionally rare. The clinical, laboratory and radiologic findings are described and ultrasound study is emphasized as a simple and reliable tool for investigation of terminal ileitis
