title: Transfusion-mediated Yersinia enterocolitica septicemia in an adult patient with beta-thalassemia.
abstract: We report a case of transfusion-mediated Yersinia enterocolitica septicemia in a 43-y-old woman with homozygous beta-thalassemia. Two h after transfusion of 3 units of red blood cells the patient suffered high-grade fever and shaking chills. Y. enterocolitica serotype O3 grew in blood cultures. Prolonged treatment with i.v. ceftriaxone plus ciprofloxacin led to a favorable outcome. Transfusion-associated Y. enterocolitica septicemia has not previously been reported in an adult beta-thalassemic patient from the Mediterranean area. Our report is particularly important, because of the high incidence of chronically transfused thalassemic patients in Mediterranean countries.
authors.affiliation: Department of Internal Medicine, General Hospital Sotiria, Athens, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Roussos
authors.forename: M
authors.initials: M
authors.lastname: Stambori
authors.forename: P
authors.initials: P
authors.lastname: Aggelis
authors.forename: S
authors.initials: S
authors.lastname: Kanavaki
authors.forename: P
authors.initials: P
authors.lastname: Garzonis
authors.forename: M
authors.initials: M
authors.lastname: Makarona
authors.forename: C
authors.initials: C
authors.lastname: Kapralos
authors.forename: S
authors.initials: S
authors.lastname: Karambela
authors.forename: A
authors.initials: A
authors.lastname: Dalamaga
authors.forename: A
authors.initials: A
authors.lastname: Ferti
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D065227:Transfusion Reaction; D016896:Treatment Outcome; D015009:Yersinia Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D015008:Yersinia enterocolitica / Q000302:isolation & purification*; D017086:beta-Thalassemia / Q000628:therapy*
chemical_list: D000890:Anti-Infective Agents; D002511:Cephalosporins; D002939:Ciprofloxacin; D002443:Ceftriaxone