A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report

Giuseppe Brancatelli, Antonino Tuttolomondo, Tiziana Di Chiara, Antonio Pinto, Giuseppe Brancatelli, Alessandro Del Cuore, Chiara Pintus, Giuseppina Maria Pizzo, Marco Cataldi, Maria Grazia Puleo, Mario Daidone, Rosario Luca Norrito, Salvatore Miceli, Valerio Angelo Vassallo

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Background: We report an unusual case of infective colitis by Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver metastases in a 79 yr old female without any risk factors for bacteriaemia by this pathogen. Case presentation: The patient was admitted to the Internal Medicine with Stroke Care ward of University Policlinico “P. Giaccone” in Palermo because of the appearance of diarrhoea. After the antimicrobial treatment for infective colitis, the clinicians observed a persistently increased white blood cells (WBC) count and multiple hepatic lesions; after having excluded any neoplastic disease and inflammatory bowel disease (IBD), blood cultures positive for Y. enterocolitica allowed to establish the final diagnosis was infective micro liver abscesses consequent to infective colitis due to Y. enterocolitica, which were successfully treated with cefixime and doxycycline. Conclusions: This case report should make clinicians reflect on how complex the differential diagnosis between microliver abscesses and metastasis could be and the possibility of bacteriaemia by Y. enterocolitica even without iron overload conditions.
Original languageEnglish
Number of pages7
JournalBMC Infectious Diseases
Publication statusPublished - 2021

All Science Journal Classification (ASJC) codes

  • Infectious Diseases

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