THE DIAGNOSIS OF LATE-TOXIC-TYPE BACILLARY
DYSENTERY IN CHILDREN
Wang DC, Deng
JJ, Wan CM
The Second
Affiliated Hospital of West China Medical Center of Shichuan University,
Chengdu, China
Objective: To advance the
diagnosis of late-toxic-type bacillary dysentery.
Methods: To analysis data of 22 dead cases who were diagnosed as bacillary
dysentery, toxic type. It includes clinical manifestation, lab findings,
intervention and clinical progression.
Results:
Most of the cases were infants. The youngest was three months old.
There were diarrhea in all cases. Other symptoms included high fever (10
cases), medium or serious dehydration (10 cases), vomited (1 case).
bacillus dysentery was found from all children’s stool culture. Seventeen
of them were diagnosed as bacillary dysentery, common type at beginning.
Five of them were diagnosed as infectious diarrhea at fist. The main
complications included pneumonia, mycotic enteritis, septicemia, haemolytic
uraemic syndrome. There were fundamental diseases such as malnutrition (16
cases), rickets (5 cases) and anemia (11 cases). Comparing bacillary
dysentery, toxic type , the difference point was that the cases occurred in
the 5th to 35th day of diarrhea. The reasons of dead included multiply
organic failure, respiratory failure and circulatory failure.
Conclusion: The cases have diagnosed definitely as
bacillary dysentery, toxic type and those occurred later than bacillary
dysentery, toxic type we usually diagnose. We give the name
---late-toxic-type bacillary dysentery. We should pay more attention when
the infants suffered from some kinds of fundamental diseases such as
malnutrition, rickets and anemia, and get bacillary dysentery at the same
time.