Summary
Clinical and therapeutic aspects of acute bacillary dysentery in 140 children of both sexes have been studied. The presence of knee joint arthritis in a convalescing male child was an uncommon manifestation of the disease. The association of urinary tract infection in 10% of the caseduring the illness was of rare occurrence and of great concern in the management of acute bacillary dysentery. Comparative evaluation of the drugs revealed that ampicillin gave a higher cure rate (98.8%) than sulpho onamides (20%) and tetracycline (50%). morcover, non-responders to sulpha and tetracycline improved when shifted to ampicillin. Death was recorded in 3.5% of the cases among late admissions and who had associated malnurition and other complications.
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Abbot, J.D. and Parry, H.E. (1955). Use of broad spectrum antibiotics in acute bacillary dysentery.Lancet. 1, 16.
Adam, B. (1960). Antibiotics for acute bacillary dysentery.B.M.J. 1, 1639.
Barrett-Conner, E. and Conner, J.D. (1970). Extra-intestinal manifestations of shigellosis.Am. J. Gastroentersol 53, 234.
Cruckshank, R., Duguid, J.P, Marmion, B.P. and Swain, R.H.A. (1974). Medical Microbiology. 12th ed. p.234,Churchill Livingstone.
Fairley, N.H., Boyd, J.S.K. (1943). Sulphanomides in acute bacillary dysentery.Trans. Roy. Soc. Trop. Med. Hyg. 36, 253.
Garfinkel, B.T., Martin, G.M., Watt, J., Pyn F.J., Mason, R.P. and Hardy, A.V. (1953). Bios spectrum antibiotics in acute bacillary dysentery.J. Amer. Med. Ass. 151, 1157.
Haltalin, K.C., Nelson, J.D., Hinton, L.V., Kusmiesz, H.T. and Sladjoe, M. (1968). Comparision of orally absorbable and non-absorbable antibiotid and neomycin.J. Pediatr. 72, 708.
Haltalin, K.C., Nelson, J.D., and Hinton, L., (1969). Optimal dosage of ampicillin for shigellosh.J. Pediatr. 74, 626.
Manson-Bahr, P.H.D.; Manson's Tropical disease. 16th ed.Bailliare, Tindall and Cassell. London, 1969, p. 406.
Manson's tropical diseases by Wilcock's and Manson-Bahr. 17th ed. 1972. p. 526–27.Bailliere and Tindall London.
Nelson's Text book of paediatrics (1975). 10th ed. P. 602–606.W.B. Saunders Company—Philadelphia London, Tokyo.
Nesion, J.D. and Haltalin, K.C. (1971). Accuracy of diagnosis of bacterial diarrhoeal diseases by clinical features.J. Pediatr. 78, 519.
Taylor, P.J. (1959). Acute bacillary dysentery in Cyprus.B.M.J. 2, 9.
Uppal, S.K., Srivastava, V.K., Mullick Promod and Vaishnava, Sarla (1975). Association of gastroenteritis with urinary tract infection.Indian Pediatr. 12, 159.
Weissman, J.B., Gangrosa, E.J. and Dupont, H.Z. (1972). Changing needs in the antimicrobial therapy of shigellosis.J. Infect. Dis. 127, 611.
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From the Department of Paediatrics, Government Medical College and Children Hospital, Jammu (J&K).
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Verma, K.C., Sharma, S.P. Clinico-therapeutic aspects of acute bacillary dysentery in children (A hospital study). Indian J Pediatr 45, 113–118 (1978). https://doi.org/10.1007/BF02902987
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DOI: https://doi.org/10.1007/BF02902987