title: [Yersinia enterocolitica: a cause of acute intestinal intussusception].
abstract: OBJECTIVE
  Yersinia enterocolitica infection is a rare cause of intestinal intussusception, especially in adults. We report here a case in a 29-year-old man and review the literature on diagnosis and therapy.
  
  
  METHODS
  A 29-year-old man presented with a 2-week history of diarrhea and weight loss. Ultrasonography revealed acute intestinal intussusception localized at the site of enlarged mesenteric nodes. At laparostomy, intestinal resection was not required. Histology examination of the mesenteric nodes showed follicular hyperplasia. Serology was positive for Yersinia enterocolitica. Outcome was favorable after treatment with tetracycline for 15 days.
  
  
  CONCLUSIONS
  Yersinia enterocolitica are Gram negative bacilli that grow at low temperature. Food contamination is the most frequent source of infection in man, usually in children. Clinical manifestations include gastroenteritis or pseudoappendicular syndrome. Intestinal intussusception is rare. Operative reduction by taxis is generally sufficient. Histology examination of the lymph nodes excludes lymphoma. The diagnosis is confirmed by serology. A 10 to 15-day antibiotic regimen is needed.
authors.affiliation: Service de Médecine Interne 2, Hôpital Ambroise Paré, Boulogne.
authors.forename: F
authors.initials: F
authors.lastname: Barthod
authors.forename: P
authors.initials: P
authors.lastname: Gayet
authors.forename: H
authors.initials: H
authors.lastname: Parlier
authors.forename: L
authors.initials: L
authors.lastname: Turner
authors.forename: O
authors.initials: O
authors.lastname: Barre
authors.forename: A
authors.initials: A
authors.lastname: Farah
authors.forename: J C
authors.initials: JC
authors.lastname: Patel
mesh_terms: D000208:Acute Disease; D000328:Adult; D006801:Humans; D007421:Intestine, Small; D007443:Intussusception / Q000209:etiology* / Q000382:microbiology; D008297:Male; D015009:Yersinia Infections / Q000150:complications* / Q000382:microbiology / Q000503:physiopathology; D015008:Yersinia enterocolitica
vernacular_title: Yersinia enterocolitica: une cause d'invagination intestinale aiguë.