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Shiga Bacillus Dysentery Acquired in Nicaragua

Shiga Bacillus Dysentery Acquired in Nicaragua Abstract At present there is a widespread epidemic of dysentery caused by Shigella dysenteriae, type 1, (the Shiga bacillus), in Central America.1 Gangarosa et al estimate some 112,000 cases with 8,300 deaths occurred in Guatemala in the first ten months of 1969. The severity of this outbreak is indicated by the mortality of 17 deaths per 10,000 persons, in contrast to a previous rate of 3.9.2 In the past 18 months there has been a substantial increase in the number of Shiga bacillus strains from persons who had been recent visitors to Mexico or Central America.3 In a recent 11-week period, two adults with shigellosis acquired in Nicaragua were seen in Miami, Fla. They presented with an illness resembling ulcerative colitis. Since infection with Shiga bacillus can mimic severe noninfectious enteric diseases, awareness of the seriousness of infection with this particular strain of Shigella is important to insure References 1. Mata LJ, Gangarosa EJ, Caceres A, et al: Epidemic Shiga bacillus dysentery in Central America: I. Etiologic investigations in Guatemala, 1969. J Infect Dis 122:170-180, 1970.Crossref 2. Gangarosa EJ, Perera DR, Mata LJ, et al: Epidemic Shiga bacillus dysentery in Central America: II. Epidemiologic studies in 1969. J Infect Dis 122:181-190, 1970.Crossref 3. Shigellosis— United States 1969. Morbidity Mortality Weekly Rep 19:142-143, 148, 1970. 4. Ehrenkranz NJ, Takos MJ, Hoffert WR, et al: An epidemic of Shigella sonnei dysentery arising in a general hospital. New Eng J Med 259:375-377, 1958.Crossref 5. Barrett-Connor E: Shigellosis in the adult. JAMA 198:717-720, 1966.Crossref 6. Faucon R, Ducloux M: Septicémies á Shigella. Med Trop 24:537-545, 1964. 7. Barrett-Conner E, Conner JD: Shigella boydii bacteremia. J Pediat 75:298-300, 1969.Crossref 8. Robertson HC: Outbreak of shigellosis resembling enterovirus. Southern Med J 56:662-665, 1963.Crossref 9. Graber CD, Browning D, Davis JS: Shigellemia without Shigella diarrhea. Amer J Clin Path 46:221-224, 1966. 10. Indigenously-acquired Shiga bacillus dysentery. Morbidity Mortality Weekly Rep 19:381-382, 1970. 11. Watanabe T: Infective heredity of multiple drug resistance in bacteria. Bact Rev 27:87-115, 1963. 12. Lewis MJ: Multiple transmissable drug resistance in the outbreak of Shigella flexneri infection. Lancet 2:953-956, 1967.Crossref 13. Farrar WE, Dekle LC: Transferable antibiotic resistance associated with an outbreak of shigellosis. Ann Intern Med 67:1208-1215, 1967.Crossref 14. Tong MJ, Martin DG, Cunningham JJ, et al: Clinical and bacteriological evaluation of antibiotic treatment in shigellosis. JAMA 214:1841-1844, 1970.Crossref 15. Reller LB, Gangarosa EJ, Brachman PS: Shigellosis in the US, 1964-1968. J Infect Dis 120:393-396, 1969.Crossref 16. Felsen J: Bacillary Dysentery, Colitis and Enteritis . Philadelphia, WB Saunders Co, 1945, p 49. 17. Shiga dysentery—California. Morbidity Mortality Weekly Rep 20:75, 1971. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

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References (19)

Publisher
American Medical Association
Copyright
Copyright © 1971 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1971.00310220090011
Publisher site
See Article on Publisher Site

Abstract

Abstract At present there is a widespread epidemic of dysentery caused by Shigella dysenteriae, type 1, (the Shiga bacillus), in Central America.1 Gangarosa et al estimate some 112,000 cases with 8,300 deaths occurred in Guatemala in the first ten months of 1969. The severity of this outbreak is indicated by the mortality of 17 deaths per 10,000 persons, in contrast to a previous rate of 3.9.2 In the past 18 months there has been a substantial increase in the number of Shiga bacillus strains from persons who had been recent visitors to Mexico or Central America.3 In a recent 11-week period, two adults with shigellosis acquired in Nicaragua were seen in Miami, Fla. They presented with an illness resembling ulcerative colitis. Since infection with Shiga bacillus can mimic severe noninfectious enteric diseases, awareness of the seriousness of infection with this particular strain of Shigella is important to insure References 1. Mata LJ, Gangarosa EJ, Caceres A, et al: Epidemic Shiga bacillus dysentery in Central America: I. Etiologic investigations in Guatemala, 1969. J Infect Dis 122:170-180, 1970.Crossref 2. Gangarosa EJ, Perera DR, Mata LJ, et al: Epidemic Shiga bacillus dysentery in Central America: II. Epidemiologic studies in 1969. J Infect Dis 122:181-190, 1970.Crossref 3. Shigellosis— United States 1969. Morbidity Mortality Weekly Rep 19:142-143, 148, 1970. 4. Ehrenkranz NJ, Takos MJ, Hoffert WR, et al: An epidemic of Shigella sonnei dysentery arising in a general hospital. New Eng J Med 259:375-377, 1958.Crossref 5. Barrett-Connor E: Shigellosis in the adult. JAMA 198:717-720, 1966.Crossref 6. Faucon R, Ducloux M: Septicémies á Shigella. Med Trop 24:537-545, 1964. 7. Barrett-Conner E, Conner JD: Shigella boydii bacteremia. J Pediat 75:298-300, 1969.Crossref 8. Robertson HC: Outbreak of shigellosis resembling enterovirus. Southern Med J 56:662-665, 1963.Crossref 9. Graber CD, Browning D, Davis JS: Shigellemia without Shigella diarrhea. Amer J Clin Path 46:221-224, 1966. 10. Indigenously-acquired Shiga bacillus dysentery. Morbidity Mortality Weekly Rep 19:381-382, 1970. 11. Watanabe T: Infective heredity of multiple drug resistance in bacteria. Bact Rev 27:87-115, 1963. 12. Lewis MJ: Multiple transmissable drug resistance in the outbreak of Shigella flexneri infection. Lancet 2:953-956, 1967.Crossref 13. Farrar WE, Dekle LC: Transferable antibiotic resistance associated with an outbreak of shigellosis. Ann Intern Med 67:1208-1215, 1967.Crossref 14. Tong MJ, Martin DG, Cunningham JJ, et al: Clinical and bacteriological evaluation of antibiotic treatment in shigellosis. JAMA 214:1841-1844, 1970.Crossref 15. Reller LB, Gangarosa EJ, Brachman PS: Shigellosis in the US, 1964-1968. J Infect Dis 120:393-396, 1969.Crossref 16. Felsen J: Bacillary Dysentery, Colitis and Enteritis . Philadelphia, WB Saunders Co, 1945, p 49. 17. Shiga dysentery—California. Morbidity Mortality Weekly Rep 20:75, 1971.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Oct 1, 1971

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