Journal of the Korean Pediatric Society 1981;24(8):735-742.
Published online August 15, 1981.
A Study on Children with Dysentery-like Stool from Taegu Area in 1980.
Yong Hoon Cho1, Sung Jee Nam1, Ja Hoon Koo1, Doo Hong Ahn1, Sung Yong Seol2
1Department of Pediatrics, School of Medicine, Kyungpook National University, Taegu, Korea.
2Department of Microbiology, School of Medicine, Kyungpook National University, Taegu, Korea.
1980年度 痢疾樣 大便을 가진 患兒들에 對한 臨床的 細菌學的 觀察
趙龍勳1, 南聖枝1, 具滋薰1, 安斗洪1, 薛盛用2
1慶北大學校 醫科大學 小兒科學敎室
2慶北大學校 醫科大學 微生物學敎室
Abstract
A clinical and laboratory study was conducted on 75 children with dysentery-like stool, who had been admitted or visited to our pediatric department, during 8 months period from January to August 1980. The following results were obtained: One to five years of age group was affected most frequently(47%), Shigella flexneri was identified by stool culture in 23 cases(30%) and Entameba histolytica in 13 cases(17%). In bacillary dysentery group, fever was the most common symptom occuring in 83%, followed by abdominal pain in 35%. vomiting in 26% and convulsion in 22%. In amoebic dysentery group, fever was noted in 31% and convulsion in 8%, showing some contrast to the frequency of fever & CNS manifestation. About the character of diarrheal stool, 83% of bacillary dysentery group showed bloody, mucoid stool and 62% of amoebic dysentery group mucoid ones. Frequency of diarrhea was 11 times per day or more in 73% of bacillary dysentery patients, and 10 times per day or lese in 92% of amoebic dysentery patients. The result of sensitivity test of isolated Shigella to various antibiotics were as follow : 100% sensitive to kanamycin, gentamicin, amikacin, cephaloridine & rifampin, 87% to nalidixic acid, an4 4.3% to sulfonamide, chloramphcnicol, streptomycin, tetracyclin, ampicillin & bactrim. And 22 out of 23 isolated Shigella strains revealed multiple- drug-resistance pattern on 6 or more antibiotics.
Key Words: Shigellosis, Shigella flexneri, Amoebiasis, Sensitivity test, Multiple-drug-resistance pattern




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