title: Epidemiological, clinical and microbiological features of Yersinia enterocolitica infections in a community during a four-year period.
abstract: Epidemiological and clinical features of 17 cases (13 children) of yersiniosis treated in a hospital over a four-year period, as well as factors associated with virulence, antibiotic resistance and plasmids in Yersinia enterocolitica strains from these patients were studied. The proportion of Y. enterocolitica was 3.57% of all fecal cultures positive for enteric pathogens, with 13 sporadic episodes and one outbreak. In 11 cases the infection was unimicrobial. The clinical presentation was: gastroenteritis (14 cases), pseudoappendicitis (1 case) and asymptomatic (2 cases). Eight cases needed hospital care, and 8 required antimicrobial treatment. None of the isolated bacterial strains produced pyrazinamidase, hemolysins, elastase, fibrinolysine, colicines or aerobactin. Eight strains showed calcium dependence, 7 of them exhibited autoagglutination, serum resistance, crystal violet binding and carried a 42 MDa plasmid related with virulence. Two strains carried a 3.3 MDa R-plasmid that encoded streptomycin-sulfadiazine resistance. The restriction analysis showed that the virulence plasmids constitute one variety and R-plasmids another.
authors.affiliation: Servicio de Microbiologia, Hospital San Agustin, Avilés, Asturias, Spain.
authors.forename: M A
authors.initials: MA
authors.lastname: Gonzalez Hevia
authors.forename: J A
authors.initials: JA
authors.lastname: Alvarez Riesgo
authors.forename: M C
authors.initials: MC
authors.lastname: Mendoza
mesh_terms: D000328:Adult; D002648:Child; D005260:Female; D005759:Gastroenteritis / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D015994:Incidence; D008297:Male; D010957:Plasmids / Q000235:genetics; D013030:Spain / Q000453:epidemiology; D015009:Yersinia Infections / Q000453:epidemiology*; D015008:Yersinia enterocolitica / Q000235:genetics / Q000302:isolation & purification