Past Endemic Izumi Fever or <i>Yersinia pseudotuberculosis</i> Infection Reappears Sporadically
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- Suzuki Satoshi
- Departments of General Internal Medicine, Asahikawa City Hospital, Japan
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- Suzuki Keiko
- Departments of General Internal Medicine, Asahikawa City Hospital, Japan
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- Furukawa Takuo
- Departments of Pediatrics, Asahikawa City Hospital, Japan
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- Nakajima Masahide
- Departments of Pediatrics, Asahikawa City Hospital, Japan
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- Sakai Hiroyuki
- Departments of Dermatology, Asahikawa City Hospital, Japan
Abstract
<p>Izumi fever (IF), also known as Far East scarlet-like fever (FESLF), is caused by Yersinia pseudotuberculosis and it has clinical features resembling those of Kawasaki disease (KD). As both diseases are rare in adolescents and young adults, it is challenging to recognize them, thus often leading to a delayed diagnosis. We herein present two cases of IF or FESLF (IF/FESLF). The first case was misdiagnosed as KD, which led to a diagnostic delay. The second case was recognized earlier owing to our experience with the first case. Although cultures were negative in both cases, presumably due to the prior use of antimicrobial agents, our clinical suspicion and a paired serological assay for anti-Y. pseudotuberculosis antibodies finally led to a successful diagnosis. </p>
Journal
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- Internal Medicine
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Internal Medicine 63 (9), 1317-1322, 2024-05-01
The Japanese Society of Internal Medicine