An ironic case of liver infections:Yersinia enterocolitis in the setting of thalassemia

作     者：Nathan Selsky Faripour Forouhar George Y Wu 

作者机构：Division of Gastroenterology and HepatologyDepartment of MedicineUniversity of Connecticut Health Center Department of Anatomic PathologyUniversity of Connecticut Health Center 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第37期

页      面：6296-6298页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Yersinia Enterocolitis Bone marrow Liver biopsy Thalassemia Hemophagocytic lymphohistiocytosis 

摘      要：A 49 years old Vietnamese male with a history of thalassemia,presented with gastrointestinal symptoms and signs of *** was diagnosed with yersinia *** is a gram-negative rod that most frequently occurs in children especially during the winter *** the current case,the bone marrow biopsy showed hemophagocytosis along with positive cultures for *** microorganism likely triggered *** syndrome,also known as,hemophagocytic lymphohistiocytosis,is defined by fever for more than 7 d,cytopenia of two or more cell lines,hemophagocytosis,hepatitis,serum ferritin greater than500,jaundice,lymphadenopathy,and *** disorder can be either familial or secondary to a strong immunologic *** have an overwhelming activation of T-cells and macrophages.