Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Transplantation
Volume 2014 (2014), Article ID 923058, 3 pages
http://dx.doi.org/10.1155/2014/923058
Case Report

Yersinia enterocolitica Infection Simulating Lymphoproliferative Disease, after Liver Transplant

1Kaplan Medical Center, Rehovot, Israel
2Department of Medical Imaging, Hadassah Hebrew University Medical Center, Jerusalem, Israel
3Central Laboratory, Ministry of Health, Jerusalem, Israel
4Hebrew University, Hadassah Medical School, Jerusalem, Israel

Received 15 April 2014; Revised 7 June 2014; Accepted 9 June 2014; Published 14 July 2014

Academic Editor: Piero Boraschi

Copyright © 2014 E. Jakobovich et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe a 14-year-old girl, who was 13 y after liver transplantation for biliary atresia with an unremarkable postoperative course. She presented with fever of up to 40°C, extreme fatigue, malaise, anorexia, and occasional vomiting. On physical examination the only finding was splenomegaly. Lab results showed hyperglobulinemia and an elevated sedimentation rate. Liver function tests were normal except for mild elevation of γGTP. Abdominal U/S and CT demonstrated an enlarged spleen with retroperitoneal and mesenteric lymph nodes enlargement. An exhaustive evaluation for infectious causes, autoimmune conditions, and malignancy was negative. A full recovery after 5 months prompted testing for self-limited infectious etiologies. Yersinia enterocolitica infection was diagnosed.