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It is sometimes listed as an explicit differential diagnosis of bacillary dysentery, as opposed to a cause. [6] Bacillary dysentery should not be confused with diarrhea caused by other bacterial infections. One characteristic of bacillary dysentery is blood in stool, [7] which is the result of invasion of the mucosa by the pathogen.
Shigellosis, known historically as dysentery, is an infection of the intestines caused by Shigella bacteria. [ 1 ] [ 3 ] Symptoms generally start one to two days after exposure and include diarrhea , fever , abdominal pain , and feeling the need to pass stools even when the bowels are empty. [ 1 ]
Dysentery may also be caused by shigellosis, an infection by bacteria of the genus Shigella, and is then known as bacillary dysentery (or Marlow syndrome). The term bacillary dysentery etymologically might seem to refer to any dysentery caused by any bacilliform bacteria, but its meaning is restricted by convention to Shigella dysentery.
The most commonly observed signs associated with Shigella dysentery include colitis, malnutrition, rectal prolapse, tenesmus, reactive arthritis, and central nervous system problems. Further, S. dysenteriae is associated with the development of hemolytic-uremic syndrome , which includes anemia , thrombocytopenia , and kidney failure .
[3] [4] During infection, it typically causes dysentery. [5] Shigella is a leading cause of bacterial diarrhea worldwide, with 80–165 million annual cases (estimated) [6] and 74,000 to 600,000 deaths. [6] [7] It is one of the top four pathogens that cause moderate-to-severe diarrhea in African and South Asian children. [8]
Erythromycin can be used in children, and tetracycline in adults. Some studies show, however, that erythromycin rapidly eliminates Campylobacter from the stool without affecting the duration of illness. Nevertheless, children with dysentery due to C. jejuni benefit from early treatment with erythromycin. Treatment with antibiotics, therefore ...
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Toddler's diarrhea is characterized by three or more watery stools per day that persist for 2–4 weeks or more. [2] [6] Newborns and infants may normally have soft and frequent stools; however, any noticeable changes in stool frequency or form (i.e. watery) can indicate toddler's diarrhea. [7]