We report a case of unusual extraintestinal yersiniosis in a 16-year-old girl with generalized microinfarctions of the bone and spleen. For the past 2 years she had been repeatedly admitted to our hospital with reactive arthritis, erythema nodosum and iridocyclitis of unknown aetiology. Ultrasound showed multiple round hypoechoic lesions in the spleen that were shown to have low T2 signal on MRI. MRI also showed disseminated nodular lesions of the skeleton that were low T1 and high T2 signal and demonstrated inhomogeneous contrast enhancement. The patient is currently in good health on low-dose nonsteroidal immunosuppressive therapy. This is a unique case of microinfarctions of the skeleton and spleen caused by a severe postinfectious autoimmune reaction following extraintestinal Yersinia enterocolitica infection.
Yersinia enterocolitica-associated generalized microinfarctions of bone and spleen in a child. Publishing Authors By Initials
Yersinia enterocolitica-associated generalized microinfarctions of bone and spleen in a child. Journal Published:
PUBLICATION TYPE: Journal Article
Journal: Pediatric radiology
VOLUME: 37
Page Numbers: 1294-7
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ISSN: 0301-0449
DAY: 3
MONTH: 10
YEAR: 2007
Yersinia enterocolitica-associated generalized microinfarctions of bone and spleen in a child. Information
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LANGUAGE: eng
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AFFILIATION: Paediatric Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Leipzig, Liebigstr. 20a, 04103, Leipzig, Germany, Martin.Reiss-Zimmermann@medizin.uni-leipzig.de.
Country: Germany
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MEDLINETA: Pediatr Radiol
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