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Journal of Clinical Microbiology, July 2000, p. 2788-2790, Vol. 38, No. 7
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

Bacteriological and Serological Findings in a Further Case of Transfusion-Mediated Yersinia enterocolitica Sepsis

E. Strobel,1,* J. Heesemann,2 G. Mayer,3 J. Peters,4 S. Müller-Weihrich,4 and P. Emmerling1

Institut für Medizinische Mikrobiologie, Immunologie und Krankenhaushygiene, Städtisches Krankenhaus München-Schwabing,1 Max von Pettenkofer-Institut, Ludwig Maximilians-Universität München,2 Amtlicher Blutspendedienst der Landeshauptstadt München,3 and Kinderklinik, Städtisches Krankenhaus München-Schwabing, and Technische Universität München,4 Munich, Germany

Received 4 February 2000/Returned for modification 18 March 2000/Accepted 29 April 2000

A 13-year-old patient developed severe shock due to administration of a Yersinia enterocolitica-contaminated red blood cell concentrate. Y. enterocolitica (serotype O:9, biotype II) was cultivated from the residual blood in the blood bag and from a stool sample of the blood donor. In the donor's plasma immunoglobulin M (IgM), IgA, and IgG antibodies against Yersinia outer proteins (YopM, -H, -D, and -E) were found. Since the donor remembered a short-lasting, mild diarrhea 14 days prior to blood donation, a transient attack of Yersinia enteritis may be associated with a longer than expected period of asymptomatic bacteremia that causes contamination of donor blood. Serological screening for IgM antibodies against Yersinia outer proteins might offer a way to reduce the risk of transfusion-associated Y. enterocolitica sepsis.

* Corresponding author. Mailing address: Institut für Medizinische Mikrobiologie, Immunologie und Krankenhaushygiene, Städtisches Krankenhaus München-Schwabing, Kölner Platz 1, D-80804 Munich, Germany. Phone: 0049-89-3068-3360. Fax: 0049-89-3068-3835. E-mail: Mikrobiologie{at}kms.mhn.de.

Journal of Clinical Microbiology, July 2000, p. 2788-2790, Vol. 38, No. 7
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.


This article has been cited by other articles:

  • Ribault, S., Faucon, A., Grave, L., Nannini, P., Faure, I. B. (2005). Detection of Bacteria in Red Blood Cell Concentrates by the Scansystem Method. J. Clin. Microbiol. 43: 2251-2255 [Abstract] [Full Text]  


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