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Overview of bacillary dysentery bacillary dysentery (referred to as bacillary dysentery) is caused by the Shigella common intestinal diseases. Clinically, fever, abdominal pain, diarrhea, tenesmus and mucus in a sense it is characterized by pus and blood. The basic pathological lesion of the colonic mucosa of congestion, edema, hemorrhage and other exudative inflammation. Into the cause of bacillary dysentery topic (a) of the source of infection source of infection, including patients and carriers. Patients with acute non-acute and chronic dysentery hidden evil thought typical of bacillary dysentery is an important source of infection. (B) the transmission of Shigella patients or carriers with the feces, through contaminated hands, food, water or living contact, or flies, cockroaches and other indirect communication, ultimately the digestive tract through the mouth so that by the tender susceptible . (C) of the population susceptibility of Shigella generally susceptible population, pre-school children more ill, and poor health habits, adult patients with lower body resistance and contact opportunities on the infection, combined with bacillary dysentery patients without consolidation of post-immunization power between different bacteria and between different serotypes of Shigella, no cross-immunity, it is caused by repeated infection or repeated re-infection and disease. Symptoms incubation period is generally 1 to 3 days (a few hours to 7 days). (A) can be divided into three types of acute dysentery. 1. Acute typical acute onset, chills, fever, more than for the 38 ~ 39 â„ƒ, with dizziness, headache, nausea and other symptoms of systemic poisoning and abdominal pain, diarrhea, stool was mud began to thin paste or water samples, up to, following the it was mucus or mucus pus and blood, are small, ten times a day to dozens of defecation ranges with tenesmus. Left lower quadrant tenderness, which may provide the intestines spasm hit cable. Course of about a week or so. Small number of patients vomiting can be severe, rehydration is not timely dehydration, acidosis, electrolyte imbalance, a secondary shock. 2. Acute atypical type is generally not heat or fever, mild abdominal pain, diarrhea, the number of small, 3 to 5 times more mucus, pus and blood will generally not the naked eye, without tenesmus. Course is generally 4 to 5 days. 3. This type of acute poisoning type more common in children 2 to 7 years strong, rapid onset, rapid progress in a critical condition and high mortality. (B) delayed healing of chronic dysentery disease more than 2 months or more is called chronic dysentery, and acute treatment is not more timely or not completely, decreased resistance to bacterial resistance or the body concerned, and is often due to improper diet, cold , induced by overwork or mental factors. Check 1. The total number of peripheral blood leukocytes in acute dysentery and neutrophil number increased, toxic bacillary dysentery reach 15 ~ 30 Ã—
Amoebic and bacillary dysentery and other bowel disease is often prone to confusion in diagnosis, resulting in misdiagnosis. So, to master the basic clinical differential diagnosis, especially with the identification of bacillary dysentery, for the great significance for the primary care doctors. The identification of amoebic dysentery amoebic dysentery and bacillary dysentery are sporadic, systemic symptoms are mild, low heat, toxemia rare; dysentery was epidemic, severe systemic symptoms, as fever, and the higher toxemia obvious. Abdominal pain, diarrhea, amoebic dysentery in the light, diarrhea several times or ten times a day; and severe abdominal pain and diarrhea bacillary dysentery, diarrhea than a dozen times or dozens of times a day, with significant tenesmus. The former is mostly right lower quadrant abdominal tenderness; the latter are mostly left lower abdomen. The former manure medium, accompanied by blood and mucus, dark red or jam-like, there are rotten stench; which less or no fecal, as pus, mucus mixed with blood, bright red or pink jelly-like, non- fecal odor. The former stool examination a few broken white blood cells, clusters of old red blood cells; the latter is a large number of piles of pus, distributed the majority of fresh red blood cells, macrophages common. Amebic dysentery amebic stool culture can be positive; bacillary dysentery dysentery bacteria-positive rate of 50% or more. The former can be complicated by liver and lung abscess; which occasionally arthritis, peripheral neuritis, and conjunctivitis. Chronic amoebic dysentery and chronic bacillary dysentery and sometimes difficult clinical distinction, it is sometimes necessary to colonoscopy and hospital conditions pathogenic examination. At the same time, clinical disease associated with should be noted that the possibility of the two. Schistosomiasis Schistosomiasis of acute and chronic dysentery-like symptoms may have. The main characteristics of the disease: there is water in the history of exposure to endemic areas; common hepatosplenomegaly; blood eosinophilia; schistosome eggs in feces can be found, or found miracidium hatching; intestinal biopsy pressed to find eggs ; serum cercariae egg membrane ring precipitation test or test positive. Colonic pouch pouch colon disease ciliate ciliate ciliate disease parasite is due colonic pouch in the colon and ileum (mainly the cecum and sigmoid colon) caused similar amebic colitis. Clinical manifestations were more than a sudden, acute type of upper abdominal discomfort, nausea and abdominal pain, mucus pus and blood will be a day 3 - 15 times, accompanied by tenesmus, and might dehydration, malnutrition and weight loss. In chronic seizures may have long-term cycle of diarrhea, loose stools onset atherosclerosis when, accompanied by mucus, usually without pus and blood, there is a temporary diffuse abdominal pain, or in the Ministry of ileocecal and sigmoid tenderness. Patients usually caused by a cold, eating disorders, alcohol and fatty food causes periodic diarrhea. Some patients can cause appendicitis and intestinal perforation. Stool smear microscopy that the colon pouch ciliates trophozoites or cysts, can be confirmed. Ramsey giardiasis giardiasis Ramsey Ramsey, Department of Giardia lamblia in patients with chronic abdominal pain caused by intestinal parasites, diarrhea, and can be accompanied by insomnia, headache, sweating, anemia, anorexia and other symptoms. Some may be parasitic biliary system, caused by cholecystitis, cholangitis. Patients do trophozoites and cysts found in stool examination can be confirmed. Associated with biliary symptoms, can be found in the duodenal drainage fluid trophozoites. Chronic non-specific ulcerative colitis chronic non-specific clinical manifestations of ulcerative colitis and chronic amoebic dysentery difficult to distinguish. To the conditions required hospital colonoscopy. The colonoscopy findings characterized by: intestinal congestion, touch and easy bleeding, major bleeding visible tip, small superficial ulcers, complex with mucopurulent discharge. In addition, the patients stage of disease longer, the intestinal wall due to fibrosis and hardening, thickening, so bags X-ray examination shows disappearance of the colon, intestinal samples were lead pipes. Ulcerative intestinal tuberculosis is characterized by ulcerative intestinal tuberculosis: more common in patients with pulmonary tuberculosis, especially cavitary tuberculosis; have consumed hot, night sweats, weight loss, malnutrition, tuberculosis, loss of appetite and other symptoms such as chest pain, cough, hemoptysis, etc.; stool mostly yellow thin, gruel-like, with mucus and pus and blood rare, microscopic examination only see a small amount of red, white blood cells. Colon cancer, such as necrosis as ulcers, dysentery-like pus and blood will be there. Ulcers secondary bacterial infection, there colitis symptoms. Lesions such as in the rectum, may be associated with tenesmus. Clinical manifestations very similar to amoebic dysentery, digital rectal examination should be made, and to the hospital for a colonoscopy and a conditional barium enema X-ray examination. Doctors in clinical, should always be wary of colon cancer, and pay attention to the possibility of coexistence with amoebic dysentery.
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Bacillary dysentery and amoebic dysentery on a single herb treatment - "Traditional Chinese Medicine" in 1955, 08 of the literature sources CNKI www.cnki.net
Diarrhea in the clinical characteristics of the performance: (1) have small amounts of diarrhea and frequency, (2) contains pus and blood and mucus, (3), abdominal pain and there is tenesmus. The pathology of colitis and ulcer characteristics. Dysentery divided into two major types: one for bacillary dysentery, caused by the Department of a special bacteria; one for amoebic dysentery, caused by the amoeba system, it is briefly described as follows, respectively: a, bacillary dysentery pathogens: Shigella bacteria are five races that Shigella, Flake's, Bolt's, Arizona's, Brahimi's five times. In addition to Shiga toxin produced neurotropic outside the organization, in general, only the intestine of endotoxin prepared addicted. Notes
ã€‘ ã€DOI: cnki: ISSN :1001-1668 .0.1955-08-007
Chen dysentery performance characteristics of the micro-bed articles: (1) the amount of abdominal side is very few but they cover, (2) contains blood and mucus instantaneous, (3), abdominal pain and urgent assistance has wrapped down. The pathology of Termeer Yan Yu Yan Tai gave each collapse. Xiang divided into two major types of dysentery: a bacterial dysentery defend Yan, Paul released a special kind of defense equipment caused by bacteria, an amoebic dysentery, amoebic original chu caused by Paul, it is the medium, respectively, for the tendons to move as follows: First, to d
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