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自从1939年首次在纽约州临床分离到小肠结肠炎耶尔森氏菌血清型O:8以来,该菌感染均发生于北美洲。作者报告了在北美洲以外由小肠结肠炎耶尔森氏菌血清型O:8、生物型1B引起的日本首例感染。 1990年9月26日下午,住在日本青森县黑石市的1名4岁男孩触摸并口尝了生猪肉,后又吃了其母用生猪肉污染手拿过的小甜饼。次日下午8时发病,体温40℃,脐周腹痛,发冷、寒战。10月1日入院,体温38.6℃,有腹痛和腹泻,因昏睡不能行走,初步诊断为败血症。经对症治疗10天后康复出院。入院时,脉搏120次/分;血压100/50mmHg;红细胞数453×10~4/mm~3,白细
Since the first clinical isolation of Yersinia enterocolitica serotype O: 8 in New York State in 1939, the infection occurred in North America. The authors report the first Japanese infection caused by Yersinia enterocolitica serotype O: 8, biotype 1B outside North America. On the afternoon of September 26, 1990, a 4-year-old boy living in Kuroishi, Aomori prefecture, Japan, touched and tasted raw pork and ate the cookies that his mother’s raw pork had contaminated with her hands. The next day at 8:00 onset, body temperature 40 ℃, umbilical weeks abdominal pain, chills, chills. October 1 admission, body temperature 38.6 ℃, abdominal pain and diarrhea, due to lethargy can not walk, the initial diagnosis of sepsis. After symptomatic treatment of 10 days after discharge. Admission, pulse 120 beats / min; blood pressure 100 / 50mmHg; red blood cell count 453 × 10 ~ 4 / mm ~ 3, white