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Volume 14, Number 7—July 2008


Sudden Onset of Pseudotuberculosis in Humans, France, 2004–05

Pascal Vincent*†‡1Comments to Author , Alexandre Leclercq§1Comments to Author , Liliane Martin§, Jean-Marie Duez¶, Michel Simonet*‡2, Elisabeth Carniel§2, and Yersinia Surveillance Network
Author affiliations: *Institut National de la Santé et de la Recherche Médicale (INSERM), Lille, France; †Université Lille 2, Lille; ‡Institut Pasteur de Lille, Lille; §Institut Pasteur, Paris, France; ¶Centre Hospitalier du Bocage, Dijon, France;

Main Article

Table 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.

Main Article

1These authors contributed equally to this article.

2These authors contributed equally to the supervision of this work.