Chonnam Med J.  2003 Jun;39(2):117-121.

A Case of Acute Renal Failure Associated with Yersinia pseudotuberculosis Infection

• Kim JS
• Cho YK
• Kim SJ
• Woo YJ

Abstract

Yersinia pseudotuberculosis, a gram-negative coccobacillus, can cause a wide range of clinical manifestations such as mesenteric lymphadenitis, terminal ileitis, septicemia, reactive arthritis, erythema nodosum, and acute renal failure. We describe a case of acute renal failure associated with Yersinia pseudotuberculosis infection in a 6-year-old boy who presented with fever, abdominal pain, vomiting, diarrhea, and oliguria. Ultrasonography revealed severe enlargement of the kidneys with diffuse hyperechogenicity in the cortex, suggesting the diagnosis of acute interstitial nephritis. Mesenteric lymphadenitis and terminal ileitis were also identified. Serum BUN and creatinine rose to peak level, 96.7 mg/dL and 9.7 mg/dL, respectively on the sixth hospital day. Renal functions were normalized gradually with conservative treatments. Agglutination antibody titer against Yersinia pseudotuberculosis O1b was 1:160. Yersinia pseudotuberculosis should be considered as one of the causes of acute renal failure, especially in children.

Keyword

Yersinia pseudotuberculosis; Acute renal failure; Ultrasonography; Child

MeSH Terms

Abdominal Pain
Acute Kidney Injury*
Agglutination
Arthritis, Reactive
Child
Creatinine
Crohn Disease
Diagnosis
Diarrhea
Erythema Nodosum
Fever
Humans
Kidney
Male
Mesenteric Lymphadenitis
Nephritis, Interstitial
Oliguria
Sepsis
Ultrasonography
Vomiting
Yersinia pseudotuberculosis*
Yersinia*
Creatinine