PMID: 9170014Apr 1, 1997Paper

The etiology and clinical characteristics of mesenteric adenitis in Korean adults

Journal of Korean Medical Science
J H LeeJ C Rhee

Abstract

This study is aimed at investigating the etiology and clinical characteristics of mesenteric adenitis in Korean adults, prospectively. Clinical manifestations of fifteen patients who presented with the acute onset of right lower quadrant pain and sonographically enlarged mesenteric lymph nodes and normal appendix were evaluated. For etiologic diagnosis, stool culture, serologic test for Epstein-Barr virus, and Widal test were performed. Colonoscopy with mucosal biopsies and microbial tissue cultures were performed in 12 of 15 patients. Of fifteen patients 6 were male and the average age was 29.9 (17 approximately 41) years. Associated symptoms were diarrhea (80%), fever (73%), nausea and vomiting (27%). Right lower quadrant tenderness was observed in all cases but rebound tenderness was observed only in 26.7% of the cases. Etiology was identified in 7 cases (47%): 2 Yersinia enterocolitica infection, 2 non-typhoidal Salmonella infection, 2 tuberculosis, and 1 typhoid fever. In colonoscopic examination, signs of active inflammation were observed in 9 cases (75%) and inactive or normal findings in 3 cases (25%). All of our patients, except for the patients with tuberculosis and typhoid fever who needed specific antibiotic therapy...Continue Reading

Citations

Oct 16, 2007·Digestive Diseases and Sciences·Monica E JarrettMargaret M Heitkemper
Mar 21, 2007·American Journal of Clinical Pathology·Roger A WarnkeEric D Hsi
Apr 3, 2002·Annals of Tropical Paediatrics·Sasithorn LikitnukulPongpun Nunthapisud
Dec 10, 2003·Radiologic Clinics of North America·Michael Macari, Emil J Balthazar
Jan 25, 2011·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Jun Young JungYoon Young Jung
Oct 17, 2003·Archives of Pharmacal Research·Yong Yook LeeHye Sook Yun-Choi

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