{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T19:18:12Z","timestamp":1787944692145,"version":"build-2784847793"},"reference-count":24,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1999,9,1]]},"abstract":"<jats:p>A 3\u00bd-year-old girl presented with persistent abdominal pain, fever, vomiting, and diarrhea accompanied by rash, oral ulceration, anemia, and an elevated sedimentation rate. Initial evaluation revealed no pathogens and was extended to include abdominal ultrasound and computed tomography showing marked ileocecal edema and mesenteric adenopathy. Colonoscopy revealed focal ulceration from rectum to cecum with histology of severe active colitis with mild chronic changes. Enteroclysis demonstrated a nodular, edematous terminal ileum. Because of the patient's clinical deterioration despite antibiotics, these features were construed consistent with Crohn's disease, and glucocorticoid therapy was begun. By the ninth hospital day, admission cultures grew Yersinia enterocolitica, and trimethoprim\/sulfamethoxazole was begun followed by prompt clinical improvement. The delay in diagnosis afforded an unusually comprehensive clinical description of the presentation and diagnosis of Yersinia enterocolitis in childhood.<\/jats:p>","DOI":"10.1542\/peds.104.3.e36","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:45:45Z","timestamp":1092440745000},"page":"e36-e36","source":"Crossref","is-referenced-by-count":40,"title":["<i>Yersinia <\/i>Enterocolitis Mimicking Crohn's Disease in a Toddler"],"prefix":"10.1542","volume":"104","author":[{"given":"Anne Marie McMorrow","family":"Tuohy","sequence":"first","affiliation":[{"name":"From the Department of Pediatrics, and Divisions of"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"O'Gorman","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Nutrition,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Byington","sequence":"additional","affiliation":[{"name":"Pediatric Infectious Disease, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Reid","sequence":"additional","affiliation":[{"name":"Pediatric Radiology, University of Utah School of Medicine, Primary Children's Medical Center, Salt Lake City, Utah."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Daniel","family":"Jackson","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Nutrition,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[1999,9,1]]},"reference":[{"key":"2021121002582562800_B1","first-page":"1749","article-title":"An identified microorganism resembling B. ligneri and Past. Pseudotuberulosis, and pathogenic for man.","volume":"39","author":"Shleifstein","year":"1939","journal-title":"NY State J Med"},{"key":"2021121002582562800_B2"},{"key":"2021121002582562800_B3","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/S0022-3476(80)80318-0","article-title":"Yersinia enterocolitica gastroenteritis: a prospective study of clinical, bacteriologic, and epidemiologic features.","volume":"96","author":"Marks","year":"1980","journal-title":"J Pediatr"},{"key":"2021121002582562800_B4","first-page":"174","article-title":"Summary of the data received at the WHO Reference Center for Yersinia enterocolitica.","volume":"5","author":"Mollaret","year":"1979","journal-title":"Contrib Microbiol Immunol"},{"key":"2021121002582562800_B5","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/00006454-199305000-00007","article-title":"Presentation of Yersinia enterocolitica enteritis in children.","volume":"12","author":"Naqvi","year":"1993","journal-title":"Pediatr Infect Dis J"},{"key":"2021121002582562800_B6","doi-asserted-by":"crossref","first-page":"211","DOI":"10.3109\/10408417709102312","article-title":"Yersinia enterocolitica: a panoramic view of a characteristic microorganism.","volume":"5","author":"Bottone","year":"1977","journal-title":"Crit Rev Microbiol"},{"key":"2021121002582562800_B7","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1056\/NEJM198907063210104","article-title":"Yersinia enterocolitica.","volume":"321","author":"Cover","year":"1989","journal-title":"N Engl J Med"},{"key":"2021121002582562800_B8","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1056\/NEJM197801122980204","article-title":"Epidemic Yersinia enterocolitica infection due to contaminated chocolate milk.","volume":"298","author":"Black","year":"1978","journal-title":"N Engl J Med"},{"key":"2021121002582562800_B9","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1097\/00006454-199509000-00008","article-title":"Yersinia enterocolitica infection in children.","volume":"14","author":"Hoogkamp-Korstanje","year":"1995","journal-title":"J Pediatr Infect Dis"},{"key":"2021121002582562800_B10","doi-asserted-by":"crossref","first-page":"189","DOI":"10.3109\/inf.1976.8.issue-3.13","article-title":"Yersinia enterocolitica infection in patients with acute surgical abdominal disease: a prospective study.","volume":"8","author":"Jepsen","year":"1976","journal-title":"Scand J Infect Dis"},{"key":"2021121002582562800_B11","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1111\/j.1699-0463.1967.tb05182.x","article-title":"Studies on Yersinia enterocolitica: occurrence in various groups of acute abdominal disease.","volume":"71","author":"Nilehn","year":"1967","journal-title":"Acta Pathol Microbiol Scand"},{"key":"2021121002582562800_B12","doi-asserted-by":"crossref","first-page":"1978","DOI":"10.1001\/jama.1979.03300180022024","article-title":"Yersinia enterocolitica in children.","volume":"242","author":"Rodriguez","year":"1979","journal-title":"JAMA"},{"key":"2021121002582562800_B13","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1001\/archpedi.1994.02170090071013","article-title":"Yersinia enterocolitica: pseudoappendicular syndrome.","volume":"148","author":"Murray","year":"1994","journal-title":"Arch Pediatr Adolesc Med"},{"key":"2021121002582562800_B14","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1111\/j.1651-2227.1974.tb04880.x","article-title":"Clinical manifestations of infection with Yersinia enterocolitica in children.","volume":"63","author":"Bergstrand","year":"1974","journal-title":"Acta Paediatr Scand"},{"key":"2021121002582562800_B15","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1093\/ajcp\/55.4.506","article-title":"Mesenteric lymphadenitis due to Yersinia enterocolitica: report of a case.","volume":"55","author":"Braunstein","year":"1971","journal-title":"Am J Clin Pathol"},{"key":"2021121002582562800_B16","doi-asserted-by":"crossref","first-page":"101","DOI":"10.3109\/inf.1974.6.issue-1.17","article-title":"Erysipelas-like disease caused by Yersinia enterocolitica.","volume":"6","author":"Hagan","year":"1974","journal-title":"Scan J Infect Dis"},{"key":"2021121002582562800_B17","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1093\/infdis\/165.4.740","article-title":"Clinical and microbiologic characteristics of cutaneous infection with Yersinia enterocolitica.","volume":"165","author":"Krogstad","year":"1992","journal-title":"J Infect Dis"},{"key":"2021121002582562800_B18","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1093\/aje\/121.5.705","article-title":"An outbreak of Yersinia enterocolitica infections caused by contaminated tofu (soybean curd).","volume":"121","author":"Tachett","year":"1985","journal-title":"Am J Epidemiol"},{"key":"2021121002582562800_B19","doi-asserted-by":"crossref","first-page":"191","DOI":"10.3109\/inf.1975.7.issue-3.07","article-title":"Arthritis associated with Yersinia enterocolitica infections.","volume":"7","author":"Winblad","year":"1975","journal-title":"Scand J Infect Dis"},{"key":"2021121002582562800_B20","first-page":"18","article-title":"Polyarthritis associated with Yersinia enterocolitica infection.","volume":"49","author":"Thomas","year":"1975","journal-title":"S Afr Med J"},{"key":"2021121002582562800_B21","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/S0016-5085(77)80076-0","article-title":"Yersinia enteritis and enterocolitis: gastroenterological aspects.","volume":"72","author":"Vantrappen","year":"1977","journal-title":"Gastroenterology"},{"key":"2021121002582562800_B22"},{"key":"2021121002582562800_B23"},{"key":"2021121002582562800_B24","first-page":"153","article-title":"Yersinia enterocolitica infection in a patient with sickle cell disease after exposure to chitterlings.","volume":"16","author":"Stoddard","year":"1994","journal-title":"Am J Pediatr Hematol Oncol"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/104\/3\/e36\/843508\/e36.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/104\/3\/e36\/843508\/e36.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T09:27:42Z","timestamp":1639128462000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/104\/3\/e36\/62448\/Yersinia-Enterocolitis-Mimicking-Crohn-s-Disease"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,9,1]]},"references-count":24,"journal-issue":{"issue":"3","published-online":{"date-parts":[[1999,9,1]]},"published-print":{"date-parts":[[1999,9,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.104.3.e36","relation":{},"ISSN":["1098-4275","0031-4005"],"issn-type":[{"value":"1098-4275","type":"electronic"},{"value":"0031-4005","type":"print"}],"subject":[],"published":{"date-parts":[[1999,9,1]]}}}