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🌱 來自: bacterial inflammatory acute diarrhea

Yersinia

• undercooked pork; unpasteurized milk, abd pain → ”pseudoappendicitis” (aka mesenteric adenitis)
• Can pass through the stomach, adhere to the gut epithelium, and localize in lymphoid tissue to evade the immune response.
• Transmission largely foodborne (especially pork consumption), but can also be due to consumption of untreated spring water, transmission from household pets, or in extremely rare cases from pRBC transfusions.
• Incubation averages 5 days.
• Clinically, can cause acute yersiniosis (febrile gastroenteritis) or a pseudo-appendicitis syndrome (fever, milder diarrhea, RLQ pain).
• Can also cause an autoimmune-type thyroiditis, pericarditis, or glomerulonephritis.
• Treatment: Self limited, provide support/rehydration; if severe use fluroquinolone or TMP-SMX.

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• unintentional weight loss
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• glomerulonephritis
• bacterial inflammatory acute diarrhea
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• Organ dysfunction
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• Acute Diarrhea (3 weeks)