Terminal Ileitis due to Yersinia Infection: An Underdiagnosed Situation.
Endoscopy is currently the gold standard for the diagnosis of inflammatory bowel disease (IBD). The presence of macroscopic lesions along with the microscopic detection of inflammatory infiltration in the terminal ileum often leads the gastroenterologist to the diagnosis of Crohn's disease (CD). How...
| Publicado en: | BioMed Research International pp. 1 - 11 |
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| Autores principales: | , , |
| Formato: | review Journal Article |
| Publicado: |
Wiley-Blackwell
5/27/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143456027&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143456027 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23146133 FT2T jtl: BioMed Research International issn: 23146133 maglogo: N pubinfo: dt: 5/27/2020 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 143456027 143456027 143456027 10.1155/2020/1240626 143456027 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Terminal Ileitis due to Yersinia Infection: An Underdiagnosed Situation. aug: au: Triantafillidis, John K. Thomaidis, Thomas Papalois, Apostolos affil: Metropolitan General Hospital, Athens, Greece sug: subj: Crohn Disease Etiology Yersinia Infections Complications Yersinia Infections Diagnosis Yersinia Infections Physiopathology Antibodies, Bacterial Blood Food Microbiology Water Microbiology Prevalence Histological Techniques Methods Endoscopy, Gastrointestinal Crohn Disease Diagnosis Yersinia Infections Epidemiology ab: Endoscopy is currently the gold standard for the diagnosis of inflammatory bowel disease (IBD). The presence of macroscopic lesions along with the microscopic detection of inflammatory infiltration in the terminal ileum often leads the gastroenterologist to the diagnosis of Crohn's disease (CD). However, some of these cases could be, in fact, an infection caused by Yersinia spp., accompanied or not with CD, which could be easily diagnosed with the identification of serum antibodies against Yersinia outer protein antigens (YOP antigens). Since Yersiniosis is considered to be an uncommon situation, food and water are not usually checked for the possibility of contamination by Yersinia. Therefore, it is reasonable to assume that the true prevalence of Yersinia infection in patients with terminal ileitis is probably underestimated. In this article, we review the most important data regarding the various aspects of Yersinia infection with special focus on its pathophysiology and diagnosis. We recommend testing for serum antibodies against YOP antigens in all patients with an endoscopic and histological image of terminal ileitis in order to identify Yersiniosis in conjunction or not with terminal ileum CD. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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