Authors
TK Bergmann, K Vinding, H Hey
Publication date
2001/1/1
Source
Scandinavian journal of gastroenterology
Volume
36
Issue
8
Pages
891-895
Publisher
Taylor & Francis
Description
A case of hepatic abscesses due to Yersinia enterocolitica in an immunocompetent male is presented. Reexamination after 3 months showed that the patient had primary haemochromatosis. Treatment with repeated phlebotomies was instituted. Two years after the patient was first admitted to hospital, 17.2 g iron had been removed and all haematological and biochemical parameters had returned to normal. Genetic analysis of the patients' two sons showed that one was positive for the chromosome defect found in primary haemochromatosis; further investigation is under progress. A study of the literature showed that prior to this case only 45 cases of hepatic abscess secondary to Yersinia enterocolitica have been registered. Of the 45 reported cases, 64% had underlying haemochromatosis and 29% had diabetes mellitus. The overall mortality was 31%. Mortality before 1987 was 60% (n = 20) and since 1987 it has …
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