CLINICAL FEATURES, INCLUDING HAEMOLYTIC-URAEMIC SYNDROME, IN SHIGELLA DYSENTERIAE TYPE 1 INFECTION IN CHILDREN OF RANGOON

Fifty children (33 male and 17 female) suffering from shigellosis with mean age of 2.6, (range : 6 months — 8 years) and admitted to the Rangoon Children's Hospital during June 1985 were studied. Shigella dysenteriae type 1 was isolated from the stools of 24 among them. Haemolytic-oliguric synd...

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Bibliographic Details
Published in:Journal of diarrhoeal diseases research 1987-09, Vol.5 (3), p.175-177
Main Authors: KHIN-MAUNG-U, MYO-KHIN, TIN-AYE, MYO-MIN-AUNG, SOE-SOE-AYE, THANE-OKE-KYAW-MYINT, KHIN-THAN-NU
Format: Article
Language:English
Subjects:
Bacillary dysentery
Bangladesh
Blood
Child
Child nutrition disorders
Child, Preschool
Children
Dysentery, Bacillary - complications
Endotoxins
Female
Gelation
Hemolytic uremic syndrome
Hemolytic-Uremic Syndrome - complications
Humans
Infant
Infections
Leukemoid Reaction - complications
Male
Medical research
Shigella dysenteriae
SHORT COMMUNICATION
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Summary:Fifty children (33 male and 17 female) suffering from shigellosis with mean age of 2.6, (range : 6 months — 8 years) and admitted to the Rangoon Children's Hospital during June 1985 were studied. Shigella dysenteriae type 1 was isolated from the stools of 24 among them. Haemolytic-oliguric syndrome, defined by a fall in haematocrit >10% within the first week of admission, oliguria and blood urea 9.7 mmol/l, was developed in 4 malnourished children, of whom two died. Three of them had detectable levels of endotoxin in their blood. In total, 5 deaths occurred — 2 from haemolytic-uraemic syndrome, 1 from septicaemia, 1 from peritonitis, and 1 from fulminant encephalopathy. This is the first report of HUS from Burma.
ISSN:0253-8768
2311-8512