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Neonatal Shigellosis: Report of 16 Cases and Review of the Literature

Neonatal Shigellosis: Report of 16 Cases and Review of the Literature Abstract SHIGELLOSIS rarely affects infants during the first month of life.1-5 Even in highly endemic areas neonatal shigellosis is exceedingly uncommon.3,5 This is puzzling since newborn infants are susceptible to other enteric infections, notably enteropathogenic strains of Escherichia coli and Salmonella species. The world's literature contains reports6-12 of only eight bacteriologically confirmed cases of neonatal shigellosis (onset of disease before 28 days of life). As a consequence, little is known about the clinical manifestations and epidemiologic implications of shigellosis in this age group. This paper summarizes the eight previously reported cases and the 16 cases seen at Children's Medical Center and Parkland Memorial Hospital in Dallas. Four cases, which developed while the infants were in the nursery, are presented in detail. Two of these infants died of peritonitis following intestinal perforation. Four Cases With Onset in the Hospital Nursery Case 1.—A 2,268-gm (5 lb) Negro girl was born References 1. Felsen, J.: Bacillary Dysentery , Philadelphia: W. B. Saunders Co., 1945. 2. Gordon, J.E., and Rubenstein, A.D.: Epidemic Diarrhea of the Newborn , Amer J Med Sci 220: 339-353, 1950.Crossref 3. Floyd, T.M.; Higgins, A.R.; and Kadar, M.A.: Studies in Shigellosis: V. The Relationship of Age to the Incidence of Shigella Infections in Egyptian Children, With Special Reference to Shigellosis in the Newborn and in Infants in the First Six Months of Life , Amer J Trop Med 5:119-130, 1956. 4. Mravunac, B., and Weber, D.: Shigellosis in the First Two Years of Life , Brit Med J 1:1080-1082. 1956.Crossref 5. Olarte, J.: Infecciones por shigella en la Ciudad de Mexico , Bol Med Hosp Infant Mex 27:17-25, 1960. 6. Marckwald: Ein Fall von Epidemischer Dysenterie Beim Foetus , Munchen Med Wschr 48:1920, 1901. 7. Kerrin, J.C., and Gill, J.M.: Flexner Dysentery in a Two-Day-Old Child , Brit Med J 1:16, 1929.Crossref 8. Greenberg, M.; Frant, S.; and Shapiro, R.: Bacillary Dysentery Acquired at Birth , J Pediat 17: 363-366, 1940.Crossref 9. Landsberger, M.: Bacillary Dysentery in a Newborn Infant , Arch Pediat 59:330-332, 1942. 10. McIntyre, M.S., and Jahr, H.M.: An Isolated Case of Shigellosis in the Newborn Nursery , Nebraska Med J 39:425-426, 1954. 11. Neter, E.: Shigella Sonnei Infection at Term and Its Transfer to the Newborn , Obstet Gynec 17: 517-519, 1961. 12. Hamilton, J.R., and Sass-Kortsak, A.: Jaundice Associated with Severe Bacterial Infection in Young Infants , J Pediat 63:121-132, (July) , 1963.Crossref 13. Brewer, G.J.; Tarlov, A.R.; and Alving, A.S.: Methaemoglobin Reduction Test: A New, Simple, In Vitro Test for Identifying Primaquine-Sensitivity , Bull WHO 22:633-640, 1960. 14. Walz-Georges, M.: Zwei Fälle von Epidemischer Ruhr bei Neugeborenen , Mschr Kinderheilk 19:477-479, 1921. 15. Aïtoff, M., and Daunay, M.: Bacille dysentériforme, agent pathogène probable d'une entérite grave, a caractère épidémique dans un service de nouveau—nés , Compt rend Soc de biol 121:110-112, 1936. 16. Johnston, M.M., and Kaake, M.J.: Bacteriologic Studies of Three Small Epidemics of Infectious Diarrhea in Children: Two caused by B Dysenteriae (sonne) and One by B Dispar , J Pediat 7:65-69, 1935.Crossref 17. Fonkalsrud, E.W.; Ellis, D.G.; and Clatworthy, H.W.: Neonatal Peritonitis , J Pediat Surg 1:227-239, 1966.Crossref 18. Haltalin, K.C., and Nelson, J.D.: Coliform Septicemia Complicating Shigellosis in Children , JAMA 192:441-443, 1965.Crossref 19. Whitefield, C., and Humphries, J.M.: Meningitis and Septicemia due to Shigellae in a Newborn Infant , J Pediat 70:805-806, 1967.Crossref 20. Salzman, T.C.; Scher, C.D.; and Moss, R.: Shigellae With Transferable Drug Resistance: Outbreak in a Nursery for Premature Infants , J Pediat 71:21-26, 1967.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Neonatal Shigellosis: Report of 16 Cases and Review of the Literature

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References (22)

Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1967.02090270059004
Publisher site
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Abstract

Abstract SHIGELLOSIS rarely affects infants during the first month of life.1-5 Even in highly endemic areas neonatal shigellosis is exceedingly uncommon.3,5 This is puzzling since newborn infants are susceptible to other enteric infections, notably enteropathogenic strains of Escherichia coli and Salmonella species. The world's literature contains reports6-12 of only eight bacteriologically confirmed cases of neonatal shigellosis (onset of disease before 28 days of life). As a consequence, little is known about the clinical manifestations and epidemiologic implications of shigellosis in this age group. This paper summarizes the eight previously reported cases and the 16 cases seen at Children's Medical Center and Parkland Memorial Hospital in Dallas. Four cases, which developed while the infants were in the nursery, are presented in detail. Two of these infants died of peritonitis following intestinal perforation. Four Cases With Onset in the Hospital Nursery Case 1.—A 2,268-gm (5 lb) Negro girl was born References 1. Felsen, J.: Bacillary Dysentery , Philadelphia: W. B. Saunders Co., 1945. 2. Gordon, J.E., and Rubenstein, A.D.: Epidemic Diarrhea of the Newborn , Amer J Med Sci 220: 339-353, 1950.Crossref 3. Floyd, T.M.; Higgins, A.R.; and Kadar, M.A.: Studies in Shigellosis: V. The Relationship of Age to the Incidence of Shigella Infections in Egyptian Children, With Special Reference to Shigellosis in the Newborn and in Infants in the First Six Months of Life , Amer J Trop Med 5:119-130, 1956. 4. Mravunac, B., and Weber, D.: Shigellosis in the First Two Years of Life , Brit Med J 1:1080-1082. 1956.Crossref 5. Olarte, J.: Infecciones por shigella en la Ciudad de Mexico , Bol Med Hosp Infant Mex 27:17-25, 1960. 6. Marckwald: Ein Fall von Epidemischer Dysenterie Beim Foetus , Munchen Med Wschr 48:1920, 1901. 7. Kerrin, J.C., and Gill, J.M.: Flexner Dysentery in a Two-Day-Old Child , Brit Med J 1:16, 1929.Crossref 8. Greenberg, M.; Frant, S.; and Shapiro, R.: Bacillary Dysentery Acquired at Birth , J Pediat 17: 363-366, 1940.Crossref 9. Landsberger, M.: Bacillary Dysentery in a Newborn Infant , Arch Pediat 59:330-332, 1942. 10. McIntyre, M.S., and Jahr, H.M.: An Isolated Case of Shigellosis in the Newborn Nursery , Nebraska Med J 39:425-426, 1954. 11. Neter, E.: Shigella Sonnei Infection at Term and Its Transfer to the Newborn , Obstet Gynec 17: 517-519, 1961. 12. Hamilton, J.R., and Sass-Kortsak, A.: Jaundice Associated with Severe Bacterial Infection in Young Infants , J Pediat 63:121-132, (July) , 1963.Crossref 13. Brewer, G.J.; Tarlov, A.R.; and Alving, A.S.: Methaemoglobin Reduction Test: A New, Simple, In Vitro Test for Identifying Primaquine-Sensitivity , Bull WHO 22:633-640, 1960. 14. Walz-Georges, M.: Zwei Fälle von Epidemischer Ruhr bei Neugeborenen , Mschr Kinderheilk 19:477-479, 1921. 15. Aïtoff, M., and Daunay, M.: Bacille dysentériforme, agent pathogène probable d'une entérite grave, a caractère épidémique dans un service de nouveau—nés , Compt rend Soc de biol 121:110-112, 1936. 16. Johnston, M.M., and Kaake, M.J.: Bacteriologic Studies of Three Small Epidemics of Infectious Diarrhea in Children: Two caused by B Dysenteriae (sonne) and One by B Dispar , J Pediat 7:65-69, 1935.Crossref 17. Fonkalsrud, E.W.; Ellis, D.G.; and Clatworthy, H.W.: Neonatal Peritonitis , J Pediat Surg 1:227-239, 1966.Crossref 18. Haltalin, K.C., and Nelson, J.D.: Coliform Septicemia Complicating Shigellosis in Children , JAMA 192:441-443, 1965.Crossref 19. Whitefield, C., and Humphries, J.M.: Meningitis and Septicemia due to Shigellae in a Newborn Infant , J Pediat 70:805-806, 1967.Crossref 20. Salzman, T.C.; Scher, C.D.; and Moss, R.: Shigellae With Transferable Drug Resistance: Outbreak in a Nursery for Premature Infants , J Pediat 71:21-26, 1967.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Dec 1, 1967

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