Volume 14, Number 7—July 2008
Dispatch
Sudden Onset of Pseudotuberculosis in Humans, France, 2004–05
Pascal Vincent*†‡1
, Alexandre Leclercq§1 , Liliane Martin§, Jean-Marie Duez¶, Michel Simonet*‡2, Elisabeth Carniel§2, and Yersinia Surveillance Network
, Alexandre Leclercq§1 , Liliane Martin§, Jean-Marie Duez¶, Michel Simonet*‡2, Elisabeth Carniel§2, and Yersinia Surveillance NetworkTable 1
Relevant characteristics of 27 patients with Yersinia pseudotuberculosis infection, France, winter 2004–05*
| Age, y | Sex | Risk factors | Main clinical signs/symptoms | Site of organism isolation | O serotype | Illness outcome |
|---|---|---|---|---|---|---|
| 0.8 | M | None | Diarrhea | Feces | I | Recovery |
| 1 | M | None | Diarrhea | Feces | III | Recovery |
| 2 | F | None | Diarrhea | Feces | I | Recovery |
| 6 | M | None | Diarrhea | Feces | I | Recovery |
| 9 | F | None | Diarrhea | Feces | I | Recovery |
| 17 | M | Multiple injuries (motorcycle accident) | Postsurgical infection† | Blood | I | Recovery |
| 36 | F | HIV infection | Diarrhea, mesenteric adenitis | Feces | I | Recovery |
| 44 | F | Bone marrow transplantation | Fever | Blood | I | Death |
| 51 | F | Sickle cell anemia, cirrhosis | Diarrhea, esophageal variceal bleeding | Blood | I | Death |
| 59 | M | Cirrhosis | Fever, esophageal variceal bleeding | Blood | I | Recovery |
| 61 | M | Therapeutic aplasia (colorectal cancer) | Fever, abdominal pain | Blood | I | Death |
| 64 | M | Abdominal aortic aneurysm | Abdominal pain | Artery biopsy | I | Recovery |
| 65 | F | Myeloma | Fever, septic shock | Blood | I | Death |
| 70 | M | Cirrhosis | Fever | Blood | I | Recovery |
| 71 | M | Unknown | Abdominal pain | Blood | NA strain | Recovery |
| 71 | M | Diabetes, steroid receipt (for retroperitoneal fibrosis) | Fever, diabetes decompensation | Blood | I | Recovery |
| 72 | M | Kidney transplantation | Fever | Blood | I | Recovery |
| 74 | M | Diabetes | Fever, abdominal pain | Blood | NS | Recovery |
| 75 | M | Viral hepatitis C infection | Fever | Blood | I | Recovery |
| 76 | M | Cirrhosis | Fever | Blood | NS | Recovery |
| 78 | M | Calcific aortic stenosis | Fever, acute heart failure | Blood | I | Recovery |
| 78 | M | Diabetes | Fever, septic shock | Blood and artery biopsy | I | Death |
| 79 | M | Metastatic colorectal cancer | Fever, respiratory distress syndrome | Blood | I | Death |
| 80 | M | Cerebrovascular accident | Fever, cardiogenic shock | Blood | NA strain | Recovery |
| 81 | F | Cirrhosis | Fever | Blood | I | Recovery |
| 82 | M | Diabetes | Fever, septic shock | Blood | NA strain | Death |
| 83 | M | Diabetes | Fever | Blood | I | Recovery |
*NA, nonagglutinable; NS, not sent to Yersinia National Reference Laboratory.
†This patient’s signs/symptoms began after hospitalization; all other patients’ signs/symptoms began before hospitalization.
