Bacterial dysentery.

Accession number;05A0266879
Title;Bacterial dysentery.
Author; KONOIKE NAHO (Metropolitan Bokutoh Hospital, JPN) ONISHI KENJI (Metropolitan Bokutoh Hospital, JPN)
Journal Title;Modern Medical Laboratory
Journal Code:Z0084B
ISSN:0301-2611
VOL.33;NO.2;PAGE.100-104(2005)
Figure&Table&Reference;TBL.3, REF.5
Pub. Country;Japan
Language;Japanese
Abstract;Dysentery bacillus is infected by feces-mouth infection, and following whole-body feeling of fatigue and fever, aqueous diarrhea and abdominal pain are caused. The etiology, epidemiology, disease state, clinical symptoms, tests, reasoning of the diagnosis, treatment, prognosis, handling in the infectious disease law, and prevention are explained. In typical cases, it shifts to pus and viscous, bloody feces, and a symptom called tenesmus is shown. In the symptomatic therapy, fluid replenishment and administration of digestive drugs are mainly performed, and oral fluid replenishment is effective to mild or moderate disease, but it should be noted that in children and the elderly, severe dehydration may be caused. In antimicrobial drugs, neuroquinone antimicrobials are the first choice in case of the adult, and for children, phosphomycin or norfloxacin is often administered orally. Though the prognosis is comparatively good, it may become fatal in youths and the elderly. There is no effective vaccine for dysentery, but new knowledge on infection formation and defense has been obtained, and especially, the development of a vaccine for Shigella flexneri is expected.