Yersinia enterocolitica: a Rare Cause of Infective Endocarditis and Mycotic Aneurysm

Mason, Jenifer C.; Lal, Pankaj; Torella, Francesco; Sharma, Asheesh; Cooke, Richard H.

doi:10.1016/j.clinmicnews.2014.01.002

Cited by 4 publications

(11 citation statements)

References 14 publications

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“…Of those studies, 12 were excluded from the review since three studies did not include original data (review articles), three studies were not written in English, three studies did not describe endocarditis by Yersinia species, two studies described cases with possible, but not definite, endocarditis and one study was a duplicate publication. Finally, 12 met the present study’s inclusion criteria [ 10 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ]. The review process is graphically presented in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Supplementary Table S1 summarizes the characteristics of the included studies. Among those studies, 11 were conducted in Europe [ 10 , 16 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ] and one in North America [ 17 ]. There were 12 case reports; thus, the overall quality of the evidence that contributed to this systematic review was rated as low to very low [ 15 ].…”

Section: Resultsmentioning

confidence: 99%

“…Age of patients ranged from 45 to 89 years, the mean age was 67 years [ 10 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ] and 83% (10 out of 12 patients) were male [ 16 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ]. A prosthetic cardiac valve was present in 17% (2 out of 12 patients) and was metallic in the mitral position in both patients [ 20 , 24 ], while 25% (three patients) had a history of rheumatic heart disease [ 16 , 20 , 24 ].…”

Section: Resultsmentioning

confidence: 99%

“…The only identified species in all included patients was Y. enterocolitica . In particular, serotype O:3 was identified in 42% (five patients) [ 16 , 18 , 21 , 22 , 25 ] and serotype O:9 in 17% of cases (two patients) [ 20 , 24 ], whereas in 42% (five patients), the serotype was not identified [ 10 , 17 , 19 , 23 , 26 ]. A stool culture was positive in 17% (two patients) [ 16 , 22 ].…”

Section: Resultsmentioning

confidence: 99%

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Infective Endocarditis by Yersinia Species: A Systematic Review

et al. 2021

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Yersinia spp. are non-spore-forming Gram-negative bacilli. They comprise only three species known to cause disease in humans, namely Y. pestis, Y. enterocolitica and Y. pseudotuberculosis. Since infective endocarditis (IE) is rarely caused by Yersinia, the management of these infections can be problematic due to the lack of experience. The purpose of this study was to systematically review all published cases of IE by Yersinia species in the literature. A systematic review of PubMed, Scopus and Cochrane Library (through 1 November 2020) for studies providing epidemiological, clinical and microbiological information as well as data on treatment and outcomes of IE caused by Yersinia species was performed. A total of 12 studies, containing data of 12 patients, were included. A prosthetic valve was present in 17% of patients. The mitral valve was the most commonly infected site, followed by the aortic valve. Fever, sepsis and embolic phenomena were common clinical signs, followed by heart failure. Aminoglycosides, cephalosporins and quinolones were the most commonly used antimicrobials. Clinical cure was noted in 83%, while overall mortality was 17%. This systematic review describes IE by Yersinia and provides information on patients’ epidemiology, clinical signs and the related therapeutic strategies and outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Infective Endocarditis by Yersinia Species: A Systematic Review

et al. 2021

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“…(Moneta et al, 1998). Y. enterocolitica is a rare cause of infected aortic aneurysm, with only 14 cases reported in the literature so far (Donald et al, 1996;Hagensee, 1994;Knudsen et al, 1993;La Scola et al, 1997;Mason et al, 2014;Mercie et al, 1996;Prentice et al, 1993;Tame et al, 1998;Van Noyen et al, 1987;Van Steen et al, 1989). To our knowledge, this is the first reported case of an aortic aneurysm infected with Y. entercolitica in New Zealand and only the second in Australasia (Tame et al, 1998).…”

Section: P Kumar and Othersmentioning

confidence: 78%

Yersinia enterocolitica: a rare cause of infected aortic aneurysm successfully treated with antibiotics and endovascular repair

et al. 2014

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Introduction: Yersinia enterocolitica is a Gram-negative coccobacillus belonging to the family Enterobacteriaceae. We present a rare case of abdominal aortic aneurysm infected with Y. enterocolitica that was successfully managed using intravenous antibiotics and endovascular aneurysm repair.Case presentation: A 74-year-old male was admitted with a 1-week history of feeling generally unwell with worsening abdominal pain radiating through to his back. Inflammatory markers were raised and blood cultures grew Y. enterocolitica biotype 2. A computed topography scan revealed a 50 mm infected abdominal aortic aneurysm. The patient was successfully treated with intravenous antibiotics and endovascular aneurysm repair.Conclusion: Whilst endovascular aneurysm repair has been increasingly used to treat aortic aneurysms infected with a variety of pathogens, this is, to our knowledge, the first reported case of an aortic aneurysm infected with Y. enterocolitica being treated by such a technique. Further research is required to establish the long-term outcomes of patients undergoing endovascular repair of infected aneurysms.

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Yersinia enterocolitica in Italy: A Case of Septicemia and Abdominal Aortic Aneurysm Infection

et al. 2018

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We report a case of Yersinia enterocolitica septicemia in a 63-year-old patient admitted to the Vascular Surgery Department of Umberto I Hospital (Rome, Italy) for an abdominal aortic aneurysm. The microorganism, recovered from both peripheral blood cultures and aneurysmatic aortic wall specimens, was identified as Y. enterocolitica using matrix-assisted laser desorption ionization–time of flight analysis (MALDI-TOF MS) and 16S rDNA gene sequencing. The isolate responsible for septicemia belonged to the O:9 serotype (biogroup 2). A genetic screening of the isolate made it possible to detect the presence of both the yst and ail genes, encoding a heat-stable enterotoxin and a protein involved in invasion/adherence and serum resistance, respectively. Our case contributes in enriching epidemiological data concerning Y. enterocolitica infections, which might represent severe complications in patients suffering from cardiovascular diseases. Moreover, this study, together with the others, should be regarded as valuable and useful tools for monitoring the rate of infections worldwide.

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Yersinia enterocolitica: a Rare Cause of Infective Endocarditis and Mycotic Aneurysm

Cited by 4 publications

References 14 publications

Infective Endocarditis by Yersinia Species: A Systematic Review

Infective Endocarditis by Yersinia Species: A Systematic Review

Yersinia enterocolitica: a rare cause of infected aortic aneurysm successfully treated with antibiotics and endovascular repair

Yersinia enterocolitica in Italy: A Case of Septicemia and Abdominal Aortic Aneurysm Infection

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