A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report
Abstract Background We report an unusual case of infective colitis by Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver metastases in a 79 yr old female without any risk factors for bacteriaemia by this pathogen. Case presentation The patient was admitted to the In...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-06-01
|
| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-021-06177-6 |
| id |
doaj-8a9df97a1dd441fca00877a082565303 |
|---|---|
| record_format |
Article |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Rosario Luca Norrito Chiara Pintus Marco Cataldi Alessandro Del Cuore Mario Daidone Valerio Vassallo Maria Grazia Puleo Tiziana Di Chiara Salvatore Miceli Giuseppina Maria Pizzo Giuseppe Brancatelli Antonino Tuttolomondo Antonio Pinto |
| spellingShingle |
Rosario Luca Norrito Chiara Pintus Marco Cataldi Alessandro Del Cuore Mario Daidone Valerio Vassallo Maria Grazia Puleo Tiziana Di Chiara Salvatore Miceli Giuseppina Maria Pizzo Giuseppe Brancatelli Antonino Tuttolomondo Antonio Pinto A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report BMC Infectious Diseases Microliver abscesses Infective colitis Yersinia enterocolitica Case report |
| author_facet |
Rosario Luca Norrito Chiara Pintus Marco Cataldi Alessandro Del Cuore Mario Daidone Valerio Vassallo Maria Grazia Puleo Tiziana Di Chiara Salvatore Miceli Giuseppina Maria Pizzo Giuseppe Brancatelli Antonino Tuttolomondo Antonio Pinto |
| author_sort |
Rosario Luca Norrito |
| title |
A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report |
| title_short |
A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report |
| title_full |
A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report |
| title_fullStr |
A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report |
| title_full_unstemmed |
A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report |
| title_sort |
case of infective colitis due to yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report |
| publisher |
BMC |
| series |
BMC Infectious Diseases |
| issn |
1471-2334 |
| publishDate |
2021-06-01 |
| description |
Abstract Background We report an unusual case of infective colitis by Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver metastases in a 79 yr old female without any risk factors for bacteriaemia by this pathogen. Case presentation The patient was admitted to the Internal Medicine with Stroke Care ward of University Policlinico “P. Giaccone” in Palermo because of the appearance of diarrhoea. After the antimicrobial treatment for infective colitis, the clinicians observed a persistently increased white blood cells (WBC) count and multiple hepatic lesions; after having excluded any neoplastic disease and inflammatory bowel disease (IBD), blood cultures positive for Y. enterocolitica allowed to establish the final diagnosis was infective micro liver abscesses consequent to infective colitis due to Y. enterocolitica, which were successfully treated with cefixime and doxycycline. Conclusions This case report should make clinicians reflect on how complex the differential diagnosis between microliver abscesses and metastasis could be and the possibility of bacteriaemia by Y. enterocolitica even without iron overload conditions. |
| topic |
Microliver abscesses Infective colitis Yersinia enterocolitica Case report |
| url |
https://doi.org/10.1186/s12879-021-06177-6 |
| work_keys_str_mv |
AT rosariolucanorrito acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT chiarapintus acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT marcocataldi acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT alessandrodelcuore acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT mariodaidone acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT valeriovassallo acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT mariagraziapuleo acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT tizianadichiara acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT salvatoremiceli acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT giuseppinamariapizzo acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT giuseppebrancatelli acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT antoninotuttolomondo acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT antoniopinto acaseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT rosariolucanorrito caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT chiarapintus caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT marcocataldi caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT alessandrodelcuore caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT mariodaidone caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT valeriovassallo caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT mariagraziapuleo caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT tizianadichiara caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT salvatoremiceli caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT giuseppinamariapizzo caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT giuseppebrancatelli caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT antoninotuttolomondo caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport AT antoniopinto caseofinfectivecolitisduetoyersiniaenterocoliticacomplicatedbymicroliverabscessesmimickingmultipleliveroccultmetastasesacasereport |
| _version_ |
1721394426226409472 |
| spelling |
doaj-8a9df97a1dd441fca00877a0825653032021-06-06T11:09:12ZengBMCBMC Infectious Diseases1471-23342021-06-012111510.1186/s12879-021-06177-6A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case reportRosario Luca Norrito0Chiara Pintus1Marco Cataldi2Alessandro Del Cuore3Mario Daidone4Valerio Vassallo5Maria Grazia Puleo6Tiziana Di Chiara7Salvatore Miceli8Giuseppina Maria Pizzo9Giuseppe Brancatelli10Antonino Tuttolomondo11Antonio Pinto12U.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoSection of Radiology – BiND, University Hospital “Paolo Giaccone”U.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoU.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”, University of PalermoAbstract Background We report an unusual case of infective colitis by Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver metastases in a 79 yr old female without any risk factors for bacteriaemia by this pathogen. Case presentation The patient was admitted to the Internal Medicine with Stroke Care ward of University Policlinico “P. Giaccone” in Palermo because of the appearance of diarrhoea. After the antimicrobial treatment for infective colitis, the clinicians observed a persistently increased white blood cells (WBC) count and multiple hepatic lesions; after having excluded any neoplastic disease and inflammatory bowel disease (IBD), blood cultures positive for Y. enterocolitica allowed to establish the final diagnosis was infective micro liver abscesses consequent to infective colitis due to Y. enterocolitica, which were successfully treated with cefixime and doxycycline. Conclusions This case report should make clinicians reflect on how complex the differential diagnosis between microliver abscesses and metastasis could be and the possibility of bacteriaemia by Y. enterocolitica even without iron overload conditions.https://doi.org/10.1186/s12879-021-06177-6Microliver abscessesInfective colitisYersinia enterocoliticaCase report |