title: Septicemia due to Yersinia enterocolitica in a hemodialyzed, iron-depleted patient receiving omeprazole and oral iron supplementation.
abstract: Septicemia occurred in a long-term hemodialysis patient on oral iron supplementation who had been treated for esophageal ulcer by omeprazole, an ulcer-healing drug. Yersinia enterocolitica serotype 0:3 was recovered from blood cultures. A raised intraintestinal pH and an increased intraluminal iron load may have been contributing factors for the enhanced proliferation and generalized infection of Y enterocolitica.
authors.affiliation: Service d'Hémodialyse, Epuration extra-rénale-Médecine interne, Centre Hospitalier de Soissons, Reims, France.
authors.forename: M
authors.initials: M
authors.lastname: Fakir
authors.forename: C
authors.initials: C
authors.lastname: Saison
authors.forename: T
authors.initials: T
authors.lastname: Wong
authors.forename: B
authors.initials: B
authors.lastname: Matta
authors.forename: J M
authors.initials: JM
authors.lastname: Hardin
mesh_terms: D000368:Aged; D000747:Anemia, Hypochromic / Q000188:drug therapy; D016470:Bacteremia / Q000382:microbiology*; D004935:Esophageal Diseases / Q000188:drug therapy; D005260:Female; D005296:Ferrous Compounds / Q000627:therapeutic use*; D006801:Humans; D009853:Omeprazole / Q000009:adverse effects / Q000627:therapeutic use*; D006435:Renal Dialysis; D014456:Ulcer / Q000188:drug therapy; D015009:Yersinia Infections / Q000209:etiology*; D015008:Yersinia enterocolitica / Q000302:isolation & purification*
chemical_list: D005296:Ferrous Compounds; D009853:Omeprazole; C031621:ferrous fumarate