Differentiation of Yersinia enterocolitica enteritis from other bacterial enteritides by ultrasonography: A single-center case?control study
Differentiation of Yersinia enterocolitica enteritis from other bacterial enteritides by ultrasonography: A single-center case?control study
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超声检查区分小肠结肠炎耶尔森菌肠炎与其他细菌性肠炎：单中心病例对照研究
DOI：
10.1016/j.pedneo.2021.12.007
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发表时间：
2022
影响因子：
2.1
通讯作者：
Shimizu Toshiaki
中科院分区：
文献类型：
--
作者：
Miyata Eri;Jimbo Keisuke;Kyodo Reiko;Suzuki Mitsuyoshi;Kudo Takahiro;Shimizu Toshiaki
小肠结肠炎耶尔森菌肠炎的诊断不容易，因为粪便培养对耶尔森菌的检测比其他细菌性肠炎更困难。建立酵母菌肠炎的特征性超声表现，将有助于提高酵母菌肠炎的检出率，沿着几种冷培养的表现。这将有助于根据抗菌药物敏感性测试选择适当的抗生素，并有助于更准确地了解当地的公共卫生。本研究旨在回顾性比较Yeenteritis和其他细菌性肠炎患儿的超声检查结果和临床特征。方法我们确定了2014年至2018年期间接受Yeenteritis（Yegroup; n = 27）或其他细菌性肠炎（Other enteritis group; n = 29）治疗的患者。超声检查结果（包括平均最大直径和平均大小轴比回盲部淋巴结，回肠末端的壁厚，并存在盲肠周围高回声区），临床症状，并在第一次访问groups.ResultsNo组间差异回盲部淋巴结的平均最大直径。然而，回盲部淋巴结的平均长短轴比在Yes组低于Other肠炎组（p < 0.001）。盲肠周围强回声区在Ye组比Other肠炎组更常见（p < 0.001）。平均回盲部淋巴结大小轴比<1.51和盲肠周围强回声区的联合存在提供了100%的灵敏度。小肠结肠炎和其他细菌性肠炎。
BackgroundThe diagnosis ofYersinia enterocolitica(Ye) enteritis is not easy because detection from stool culture is more difficult forYethan for other bacterial enteritides. The establishment of characteristic ultrasonographic findings forYeenteritis would help improve the detection rate ofYeenteritis along with performance of several cold cultures. This would facilitate appropriate selection of antibiotics based on antimicrobial susceptibility testing and contribute to a more accurate understanding of local public health. This study aimed to retrospectively compare ultrasonographic findings and clinical features between children withYeenteritis and other bacterial enteritides.MethodsWe identified patients treated forYeenteritis (Yegroup; n = 27) or other bacterial enteritides (Other enteritis group; n = 29) between 2014 and 2018. Ultrasonographic findings (including mean maximum diameter and mean major–minor axis ratio of ileocecal lymph nodes, wall thickness of the terminal ileum, and presence of a pericecal hyperechoic region), clinical symptoms, and laboratory findings at first visit were compared between groups.ResultsNo difference in mean maximum diameter of ileocecal lymph nodes was seen between groups. However, mean major–minor axis ratio of ileocecal lymph nodes was lower in theYegroup than in the Other enteritis group (p < 0.001). Presence of a pericecal hyperechoic region was more frequent in theYegroup than in the Other enteritis group (p < 0.001). The combined presence of a mean ileocecal lymph node major–minor axis ratio <1.51 and a pericecal hyperechoic region offered 100% sensitivity.ConclusionCharacteristic ultrasonographic findings identified in this study may improve ultrasonographic differentiation ofY. enterocoliticaenteritis from other bacterial enteritides.