ISSN: 1300-0292 İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED CINAHL, Index Copernicus, Chemical Abstracts (CA), Excerpta Medica / EMBASE Dil: Türkçe, İngilizce İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Investigation Of Yersinia Enterocolitica Infection By Culture And Serology And Its Importance In Differential Diagnosis With Brucellosis
Hayrettin AKDENİZ*, Hasan IRMAK**, Turan BUZGAN***, Tahir SEÇKİNLİ***, Ali Pekcan DEMİRÖZ****
* Doç.Dr., Yüzüncü Yıl Üniversitesi Tıp Fakültesi Klinik Mikrobiyoloji ve Enfeksiyon Hastalıkları AD,** Yrd.Doç.Dr., Yüzüncü Yıl Üniversitesi Tıp Fakültesi Klinik Mikrobiyoloji ve Enfeksiyon Hastalıkları AD,*** Uz.Dr., Yüzüncü Yıl Üniversitesi Tıp Fakültesi Klinik Mikrobiyoloji ve Enfeksiyon Hastalıkları AD, Purpose: The aim of our study was to investigate the incidence of Yersinia enterocolitica infection in Van and its neighborhood by culture and serologic method and to demonstrate cross reactions with brucellosis.
Instution: University of Yuzuncu Yil, Faculty of Medicine, Dept. of Clinical Microbiology and Infectious Diseases, Van, Turkey.
Materials and Methods: For stool culture study, 190 stool samples obtained from patients with acute gastroenteritis were inoculated on SS, EMB and CIN agar media. For serologic study, Yersinia agglutinations were examined in serum samples obtained from (1) 100 patients with diarrhea, (2) 50 patients with arthralgia-arthritis, (3) 50 patients with brucellosis, (4) 40 patients with uveitis-conjunctivitis, and (5) 52 patients with various thyroid diseases, and a control group consisting of 50 persons.
Results: In stool culture of 190 patients with acute gastroenteritis, Y. enterocolitica was isolated in 2 patients (%1.05). In serological study performed on totally 342 individuals which consisted of 292 patients and a control group of 50 individuals; a total of 10 patients, 1 of whom against O:3 serotype and 9 against O:9 serotype, showed seropositivity at titers of 1/160 and above it (%2.92).
Conclusion: It was concluded that the three patients out of these cases, in whom agglutination titers reduced after absorbtion of the serum with Brucella abortus strain, showed cross reaction and the remaining 7 patients had Yersinia infection.Keywords: Yersinia enterocolitica, Serology, BrucellosisTurkiye Klinikleri J Med Sci 2001, 21:37-42
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