Mass-Infection of Yersinia pseudotuberculosis 4B in Shisui, Chiba (Clinical Report)

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  • 千葉県酒々井町におけるYersinia pseudotuberculosis 4B感染症の集団発生について

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The author reports mass-infection of Yersinia pseudotuberculosis 4B which occurred in two elementary schoold in Shisui in Chiba Prefecture in March 1986. A total of 548 children were infected, including 28 hospitalized children. There was no death, nor secondary infection.<BR>Fever, two-peak fever (40%; a type of recurrent fever which recurs after an intermittence of a few days following the first onset of fever), exanthema (primary, secondary and erythema nodusum), strawberry tongue, and gastrointestinal symptoms were noted as characteristic symptoms. In many of the patients, it took 2-3 weeks until the improvement. 30% of the patients were complicated with hepatic trouble, 8%(12 patients) with acute renalfailure and 8% with hematuria.<BR>In comparison between the disease and Izumi disease, no difference was noted.<BR>Six children had five or six of the six characteristic symptoms of Kawasaki disease (MCLS), which the MCLS Diagnostic Criterion defines as determinants of MCLS, but none of these 6 patients essentially came under the criterion. 2-DE was carried out in 31 children, whose findings were allnormal.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 61 (7), 772-782, 1987

    The Japanese Association for Infectious Diseases

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