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September 1979

Hepatic Abscesses Due to Yersinia enterocolitica

Author Affiliations

Department of Pediatrics Geisinger Medical Center Dansville, PA 17821

Am J Dis Child. 1979;133(9):961-962. doi:10.1001/archpedi.1979.02130090089019

Infection with Yersinia enterocolitica is being reported with increasing frequency from many parts of the world. To our knowledge, Y enterocolitica has not been described as a cause of liver abscesses in children in the English literature. Adults with Y enterocolitica abscesses have been symptomatic, had underlying liver diseases, and have died.1 We describe here an infant with multiple liver abscesses caused by Y enterocolitica.

Report of a Case.—A 3-month-old male infant was referred to us for evaluation of an enlarged liver. Physical examination had shown normal results 2½ weeks prior to admission. He had diarrhea one week prior to admission and had been febrile with a temperature of 38.3 °C. There had been no vomiting, bleeding, jaundice, or feeding problems. His mother noted an increase in his abdominal size for one week. Physical examination showed a pale, 5.5-kg, afebrile infant. The liver was 5 cm below the

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