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Mesenteric adenitis caused by Yersinia pseudotubercolosis in a patient subsequently diagnosed with Crohn's disease of the terminal ileum

Maddalena Zippi, Maria Chiara Colaiacomo, Adriana Marcheggiano, Roberta Pica, Paolo Paoluzi, Giancarlo Iaiani, Renzo Caprilli, Francesca Maccioni
World Journal of Gastroenterology: WJG 2006 June 28, 12 (24): 3933-5
Although the association between inflammatory bowel disease and gastrointestinal infections has been suggested, the mechanisms involved in the pathogenesis of Crohn's disease (CD) are still undetermined. We report the case of a man, who presented with mesenteric adenitis initially due to a Yersinia pseudotubercolosis infection, who was later diagnosed with Crohn's disease. This case is in keeping with recent evidence in the literature which suggests that CD is a disease linked to abnormal immune responses to enteric bacteria in genetically susceptible individuals.

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