Presentation
Microscopic exudate: RBC: Reddish yellow in colour Pus cells: Scanty Pyknotic nuclear residues: Very common Ghost cells: Nil (Degenerated macrophages) Eosinophils: Present Charcot-Leyden crystals: Present Parasite: Trophozoite or Cysts present Bacteria [biologydiscussion.com]
Pus cells In amoebic dysentery, only few pus cells are present In bacillary dysentery, numerous pus cells are found during microscopic examination. Macrophages In amoebic dysentery only few macrophages are present in the stool. [medicotips.com]
In the case of human blood, human DNA and RNA will be present in white blood cells, in addition to the nucleic acid present in any infectious bioagents that may be present. 3. [borrelioosifoorumi.net]
Preferably, the presentation of the infection is manifested by bloody diarrhea. [google.la]
Scarce Pyknotic bodies Very common Nil Ghost cell Nil Numerous Parasites Trophozoites of E. histolytica Nil Bacteria Many, motile Scanty, non-motile Charcot-leyden crystals Present Nil Related Posts: Differences Between Amoebic Dysentery and Bacillary [laboratoryinfo.com]
Entire Body System
- Fever
Tick-borne Rickettsia rickettsii Rocky Mountain spotted fever Rickettsia conorii Boutonneuse fever Rickettsia japonica Japanese spotted fever Rickettsia sibirica North Asian tick typhus Rickettsia australis Queensland tick typhus Rickettsia honei Flinders [en.wikipedia.org]
Initially, patients complain of fever and cramping abdominal pain. [en.medicine-guidebook.com]
Drugs that inhibit intestinal peristalsis e.g. paregoric, may ameliorate symptoms but prolong fever, diarrhea and excretion of Shigella in feces. [rxmed.com]
‘Although blood in the stool suggests invasive disease, fever is not a sensitive indicator of dysentery.’ [en.oxforddictionaries.com]
Some children who run high fevers with a shigella infection have seizures. It's not known whether the convulsions are a result of the fever or the shigella infection itself. If your child has a seizure, contact your doctor immediately. [mayoclinic.org]
- Weight Loss
Independent risk factors for PI-IBS at 8 years included female gender, younger age, prior anxiety/depression, and fever or weight loss during the acute enteric illness. IBS subtypes were not stable over time. [f1000.com]
Individual sections cover weight loss, women’s health, digestive problems, food combining, fasting, children, pregnancy, aging, and more. [books.google.es]
Independent risk factors for PI-IBS at 8 years included female gender, younger age, prior anxiety/depression, and fever or weight loss during the acute enteric illness. IBS subtypes were not stable over time. [gut.bmj.com]
Other symptoms include: sudden onset of high fever and chills abdominal pain cramps and bloating flatulence (passing gas) urgency to pass stool feeling of incomplete emptying loss of appetite weight loss headache fatigue vomiting dehydration Other symptoms [medbroadcast.com]
Symptoms of amebic dysentery caused liver abscess are: fever cough nausea jaundice weakness weight loss appetite loss stomach pain abdominal swelling upper right abdomen pain Amoebic dysentery is rare and this infection occurs most often in tropical areas [healthblurbs.com]
- Asymptomatic
Clinical features Infection by Shigella may be asymptomatic or only cause mild illness. For patients who develop bacillary dysentery, they commonly present with acute onset of fever, diarrhoea with abdominal cramps and nausea or vomiting. [chp.gov.hk]
Make sure such asymptomatic carriers do not handle food, feed or otherwise take care of children or handle anything to do with them. [news-medical.net]
The infection is spread by direct or indirect faecal-oral transmission from persons having the disease or from asymptomatic carriers. They may spread the infection to others directly by faecal material or indirectly by contaminating food. [cfs.gov.hk]
Disease is produced by ingestion of as few as 10 to 100 organisms, and there are few asymptomatic carriers. [histopathology-india.net]
About one to five percent of the general population in the United States develop amebiasis every year, but not all of these infect the intestine and many are asymptomatic; the highest rates of infection are in male homosexuals, institutionalized people [newworldencyclopedia.org]
- Anemia
[…] yields watery diarrhea. infection in the small intestine yields dysentery Hemolytic Uremic Syndrome (HUS) a syndrome associated with dysentery caused by the Shiga toxin of the bacteria Shigella dysenteriae causing microvasculature damage, hemolytic anemia [quizlet.com]
Blood tests may be taken to look for electrolyte (essential mineral salt) abnormalities or anemia. [healthcommunities.com]
[…] weaken immunity Pregnancy Travel in a place with high prevalence of infection Complications of dysentery include: Dehydration Malnutrition Liver abscess Brain or lung abscess Chronic dysentery Weakened immunity and susceptibility to other infections Anemia [news-medical.net]
Hemolytic uremic syndrome : Shigella dysenteriae can cause the red blood cells to block the entrance to the kidneys, leading to anemia, low platelet count, and kidney failure. Patients have also experienced seizures after infection. [medicalnewstoday.com]
This rare complication of shigella, more commonly caused by bacteria called E. coli, can lead to a low red blood cell count (hemolytic anemia), low platelet count (thrombocytopenia) and acute kidney failure. Toxic megacolon. [mayoclinic.org]
- Malnutrition
Alcoholism Poor nutrition Malignancies Vulnerable ages such as old people or young children Medication such as steroids which weaken immunity Pregnancy Travel in a place with high prevalence of infection Complications of dysentery include: Dehydration Malnutrition [news-medical.net]
"Diarrhea as a cause and an effect of malnutrition: diarrhea prevents catch-up growth and malnutrition increases diarrhea frequency and duration". [en.wikipedia.org]
In addition to complications, possible pathological layers: malnutrition and avitaminosis as the effects of dysentery in infants - dyspepsia; additional infection - Salmonella and nonspecific intestinal microflora. [lecheniebolezni.com]
[…] gel·lo·sis/ ( shĭ″gel-lo´sis ) infection with Shigella ; bacillary dysentery. shigellosis (shĭg′ə-lō′sĭs) n. pl. shigello·ses (-sēz) Dysentery caused by any of various species of shigellae, occurring most frequently in areas where poor sanitation and malnutrition [medical-dictionary.thefreedictionary.com]
Respiratoric
- Dyspnea
Symptoms include fever, abdominal pain, and diarrhea. shigellosis an acute highly fatal septicemia of very young foals, caused by Actinobacillus equuli and characterized by fever, prostration, diarrhea and dyspnea. [medical-dictionary.thefreedictionary.com]
- Common Cold
In a uniquely visual two-color design, Lippincott's Guide to Infectious Diseases gives a quick overview of 160 infectious diseases from the common cold and otitis media to MRSA and other newer threats including Bartonella quintana. [books.google.com]
Gastrointestinal
- Diarrhea
[…] absorbed, leading to diarrhea. [alternativemedicals.com]
Among them, 252 patients were considered to have simple diarrhea, but the rest (186 patients) suffered from more than three consecutive diarrheas. Shigella sonnei was isolated from 75 patients. [e-epih.org]
Dysentery (shigellosis) - acute intestinal infection, manifested by diarrhea, tenesmus, abdominal pain, and in cases of severe course - bloody diarrhea, fever and severe intoxication. Etiology. [en.medicine-guidebook.com]
[…] to fatal dysentery. penetration of the intestine. production of enterotoxins due to water release from the lining of the intestines. infection in the small intestine yields watery diarrhea. infection in the small intestine yields dysentery Hemolytic [quizlet.com]
Amebic dysentery symptoms encompass: fever chills pussy diarrhea abdominal pain watery diarrhea bloody diarrhea nausea & vomiting painful stool passing Once infected, you’ll likely not experience these symptoms for several weeks. [healthblurbs.com]
- Abdominal Pain
Sometimes, exploratory surgery is done to determine whether severe abdominal pain is caused by schistosomiasis, amebic dysentery or appendicitis . [healthblurbs.com]
Initially, patients complain of fever and cramping abdominal pain. [en.medicine-guidebook.com]
[…] of a number of disorders marked by inflammation of the intestine, especially of the colon, with abdominal pain, tenesmus, and frequent stools often containing blood and mucus. [medical-dictionary.thefreedictionary.com]
The onset is acute, with fever, fatigue, abdominal pain and watery diarrhoea. As the disease increases in intensity, bloody diarrhoea with mucous, faecal urgency and severe cramping abdominal pain occur. [myvmc.com]
Dysentery, infectious disease characterized by inflammation of the intestine, abdominal pain, and diarrhea with stools that often contain blood and mucus. [britannica.com]
- Abdominal Cramps
Prevalence of dyspepsia was higher in females; smokers; those with premorbid irritable bowel syndrome, anxiety, or depression; and those reporting >7 days of diarrhea or abdominal cramps during the acute illness. [ncbi.nlm.nih.gov]
In mild to moderate cases, semi-solid stools with a bad odor, mucus (no blood), abdominal cramps, flatulence and fatigue are present. This may occur periodically. [naturehomeopathy.com]
The major symptoms are diarrhea, fever, severe fluid loss, and abdominal cramps (Kaminstein 2004). [newworldencyclopedia.org]
Dysentry is an infective disease of the large bowels characterized by frequent passing of blood and mucus with stool along with several abdominal cramps. Various microbial and chemical causes can result into dysentery in humans. [laboratoryinfo.com]
For patients who develop bacillary dysentery, they commonly present with acute onset of fever, diarrhoea with abdominal cramps and nausea or vomiting. The stool may contain blood and mucus. [chp.gov.hk]
- Rectal Pain
Symptoms Patients with bacterial dysentery often have fever, abdominal cramps, rectal pain, and bloody stools. [infoplease.com]
Symptoms of Bacillary Dysentery (Shigellosis) Watery diarrhea initially that may evolve to contain mucus and blood Loss of appetite Straining during bowel movements, with accompanying rectal pain Abdominal pain; body aches Nausea and vomiting Fever and [healthcommunities.com]
There may also be fatigue, rectal pain during stool passage, and loss of weight without any significant cause. Most cases clear up in a week or less. If symptoms persist, medical care is needed. [news-medical.net]
Patients with the condition will usually experience symptoms such as diarrhea with or without blood, tenesmus, mild to high fever, rectal pain and abdominal cramps which could last for weeks to months. [clickspay.ru]
Shigellosis's most extreme form is known as dysentery, and is characterized by very watery diarrhea (which is often blood- and mucous-streaked), rectal pain, fever, and abdominal cramping (Kaminstein 2004). [newworldencyclopedia.org]
- Flatulence
In mild to moderate cases, semi-solid stools with a bad odor, mucus (no blood), abdominal cramps, flatulence and fatigue are present. This may occur periodically. [naturehomeopathy.com]
The symptoms of amoebic dysentery may range from abdominal pain, bloating and flatulence to chronic diarrhea. Entamoeba histolytica is a tiny shapeless parasite which can live in the intestine with or without causing symptoms. [news-medical.net]
Other symptoms include: sudden onset of high fever and chills abdominal pain cramps and bloating flatulence (passing gas) urgency to pass stool feeling of incomplete emptying loss of appetite weight loss headache fatigue vomiting dehydration Other symptoms [medbroadcast.com]
Racecadotril an antisecretory medication may be used to treat diarrhea in children and adults.[95] It has better tolerability than loperamide, as it causes less constipation and flatulence.[103] However, it has little benefit in improving acute diarrhea [en.wikipedia.org]
Urogenital
- Kidney Failure
The main findings are kidney failure and damage to red blood cells. As many as 15 percent of patients die from this complication, and half the survivors develop chronic kidney failure, requiring dialysis. [encyclopedia.com]
The main findings are kidney failure and damage to red blood cells. As many as 15% of patients die from this complication, and half the survivors develop chronic kidney failure, requiring dialysis. [medical-dictionary.thefreedictionary.com]
failure or disease Diagnosis and treatment Diagnosis is based on a history of possible contact with the parasite or bacteria, such as travel abroad, confirmed by other tests: Blood tests for Entamoeba or Shigella Stool tests Microscopy for the presence [news-medical.net]
Furthermore, chronic bacillary dysentery may cause severe conditions like hemolytic uremic syndrome which can result in kidney failure. [clickspay.ru]
Hemolytic uremic syndrome : Shigella dysenteriae can cause the red blood cells to block the entrance to the kidneys, leading to anemia, low platelet count, and kidney failure. Patients have also experienced seizures after infection. [medicalnewstoday.com]
Workup
Microbiology
- Entamoeba Histolytica
Amoebic dysentery Life-cycle of the Entamoeba histolytica Amebic dysentery, or amebic dysentery, is caused by the amoeba Entamoeba histolytica. [newworldencyclopedia.org]
Causal organism: Entamoeba histolytica 3. Macroscopic pathology: Passage of loose stools with mucus and little blood. Colour of blood: Dark red (altered blood) Consistency: Liquid or formed; mucus not adherent to the container. Odour: Offensive 4. [biologydiscussion.com]
Entamoeba histolytica is the commonest ameba, causing amoebic dysentery; it enters the body in the form of a cyst via contaminated food or beverages. [clickspay.ru]
Amoebic dysentery is caused by the protozoan Entamoeba histolytica, mainly in warm climates, and spread by contaminated water and food; bacterial dysentery is caused by bacteria of the genus Shigella and can also spread by contact (see shigella) ‘Mortality [en.oxforddictionaries.com]
Difference between Amoebic and Bacillary Dysentery Amoebic Dysentery Bacillary Dysentery Causative Agents of Amoebic and Bacillary Dysentery Amoebic Dysentery is caused by Entamoeba histolytica Bacillary Dysentery is caused by Shigella species and Enterohemorrhagic [medicotips.com]
Colonoscopy
- Colitis
To Infectious colitis NOS Infectious enteritis NOS Infectious gastroenteritis NOS Type 1 Excludes colitis NOS ( K52.9 ) diarrhea NOS ( R19.7 ) enteritis NOS ( K52.9 ) gastroenteritis NOS ( K52.9 ) noninfective gastroenteritis and colitis, unspecified [icd10data.com]
Bacillary colitis. Acute or chronic dysentery. Diphtheritic dysentery. Bloody flux. Colitis necroticans, ulcerosa or hemorrhagica. Institutional dysentery. Sp : Disenteria bacilar. Fr : Dysenterie bacillaire. Ger : Bakterienruhr. Bazillenruhr. [isradiology.org]
Advertisement Colon non tumor Infectious colitis (specific microorganisms) Shigella of colon Topic Completed: 1 January 2016 Revised: 10 January 2017, last major update January 2016 Copyright: (c) 2003-2017, PathologyOutlines.com, Inc. [pathologyoutlines.com]
Amoebic dysentery, aka intestinal amebiasis or amebic colitis, is caused by Entamoeba histolytica protozoa. [healthblurbs.com]
The ability of the virus to selectively affect cells and tissues Dysentery Dysentery (shigellosis) is an acute infectious disease, characterized by a syndrome of general infectious intoxication and predominantly distal colitis. [en.medicine-guidebook.com]
Treatment
Treatment of cholera US5661131A ( en ) * 1995-06-05 1997-08-26 Synsorb Biotech, Inc. Treatment of cholera US5637576A ( en ) * 1995-06-05 1997-06-10 Synsorb Biotech, Inc. [google.com]
Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]
Assuming treatment failure rate to be an extremely conservative proxy for dysentery deaths not preventable with prompt antibiotic treatment, it can be estimated that treatment of dysentery with ciprofloxacin, ceftriaxone or pivmecillinam will reduce diarrhoea [ije.oxfordjournals.org]
Bacterial Dysentery or Bloody Diarrhea: Treatment and Diagnosis Bacterial dysentery can usually be diagnosed by culturing bacteria from the stool. Treatment often starts with an oral rehydration; if necessary, antibiotics may be prescribed. … [alternativemedicals.com]
Prognosis Usually curable in 7 days with treatment. Most Shigella infections are mild and don’t require drastic treatment. [rxmed.com]
Prognosis
Eight year prognosis of postinfectious irritable bowel syndrome following waterborne bacterial dysentery John K Marshall 1, Marroon Thabane 1, Amit X Garg 2, William F Clark 2, Paul Moayyedi 1, Stephen M Collins 1, Walkerton Health Study Investigators [gut.bmj.com]
Prognosis of shigellosis The disease is self-limiting, usually resolving within 5 to 7 days without antibiotics. In severe cases, the infection may last 3 to 6 weeks. [myvmc.com]
BACKGROUND: Although postinfectious irritable bowel syndrome (PI-IBS) is a well-recognised complication of acute gastroenteritis, its prognosis remains poorly defined. [f1000.com]
Prognosis Usually curable in 7 days with treatment. Most Shigella infections are mild and don’t require drastic treatment. [rxmed.com]
When the extent of ulceration in the colon may be received from the intestine secondary infection (remittent fever, enlargement of the spleen), addictive disease, and poor prognosis. [lecheniebolezni.com]
Etiology
Etiology. Shigella - short fixed Gram-negative rods, the biochemical feature of which is the absence or very slow fermentation of lactose. [en.medicine-guidebook.com]
Etiology and pathogenesis THE BACTERIAL DYSENTERY (DYSENTERIA BACTERIALIS) Etiology. Agents dysentery - a large group of gram still sticks. [lecheniebolezni.com]
"Genome dynamics and diversity of Shigella species, the etiologic agents of bacillary dysentery". Nucleic Acids Res. 33 (19): 6445–58. doi : 10.1093/nar/gki954. PMC 1278947. PMID 16275786. ^ "WHO | Diarrhoeal Diseases". [en.wikipedia.org]
[…] occurs primarily in the left colon and involvement of the terminal ileum is common Disease may occur in other parts of the large bowel Very rarely, fulminant disease occurs because of massive small intestinal invasion (Ikari syndrome) Pathophysiology / etiology [pathologyoutlines.com]
Citation: Thompson CN, Duy PT, Baker S (2015) The Rising Dominance of Shigella sonnei : An Intercontinental Shift in the Etiology of Bacillary Dysentery. [journals.plos.org]
Epidemiology
Keywords: Epidemiologic investigation ; Bacterial dysentery outbreak ; Busan(Pusan) [e-epih.org]
Epidemiology has many features in common with the epidemiology of typhoid fever. [lecheniebolezni.com]
Epidemiology infectious diarrhoea irritable bowel syndrome Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service [gut.bmj.com]
This study explored the epidemiologic characteristics of the disease, and detected the high-risk areas using scan statistics. [bmcpublichealth.biomedcentral.com]
The diagnosis of shigellosis is made on the basis of clinical and epidemiological data, with mandatory laboratory confirmation. For final diagnosis use: 1) the bacteriological method with the greatest value. [en.medicine-guidebook.com]
Pathophysiology
Pathophysiology of shigella diarrhea in the rhesus;monkey: intestinal transport, morphological, and bacteriological studies. Gastroenterology 68: 270–278. PubMed Google Scholar 26. Keusch, G. T., G. F. Grady, L. J. Mata, and J. Mclver. 1972. [link.springer.com]
Sites Disease occurs primarily in the left colon and involvement of the terminal ileum is common Disease may occur in other parts of the large bowel Very rarely, fulminant disease occurs because of massive small intestinal invasion (Ikari syndrome) Pathophysiology [pathologyoutlines.com]
References Pathophysiology of gastrointestinal infections: the role of bismuth subsalicylate. Scottsdale, Arizona, 11-14 February 1988. Proceedings. Rev Infect Dis. 1990;12 Suppl 1:S1-119. Steffen R. [cdc.gov]
"The Role of Ion Transporters in the Pathophysiology of Infectious Diarrhea". Cellular and Molecular Gastroenterology and Hepatology. 6 (1): 33–45. doi:10.1016/j.jcmgh.2018.02.009. PMC 6007821. PMID 29928670. ^ Williams G, Nesse RM (1996). [en.wikipedia.org]
Prevention
An Epidemiological Investigation of Bacterial Dysentery Outbreak in Busan(Pusan), 1999. 1 Department of Preventive Medicine, Dong-A University Collegeof Medicine. 2 Department of Preventive Medicine, Kosin University Collegeof Medicine. 3 Sa-Sang Health [e-epih.org]
Centers for Disease Control and Prevention. http://www.cdc.gov/shigella/index.html. Accessed June 17, 2015. Shigella infections among gay & bisexual men. Centers for Disease Control and Prevention. http://www.cdc.gov/shigella/msm.html. [mayoclinic.org]
Appropriate antibiotic therapy is critical in shortening the illness, preventing relapse and reducing transmission. [histopathology-india.net]
Prevention of Bacillary Dysentery (Shigellosis) To prevent the spread of infection, keep the toilet clean and wash your hands frequently with warm water and soap, especially after a bowel movement or before handling food. [healthcommunities.com]
We know that these diseases, like so many others, are very largely preventable. [azodium.com]