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JPMA-Journal of Pakistan Medical Association. 1995; 45 (10): 266-269
in English | IMEMR | ID: emr-37882

ABSTRACT

Clinical features of infantile diarrhea were studied among 603 infants from birth to 12 months of age to determine the predominant clinical feature[s] seen in infantile diarrhea associated with a specific enteric pathogen. Among the major clinical features, fever was most often seen in diarrhea due to Yersinia spp. [61.5%] followed by that in rotavirus [26.1%]. Vomiting was mostly associated with Vibrio cholerae infection [90.9%] and shigellosis [64.6%]. Dehydration was predominant in Vibrio cholerae [90.9%] and Salmonella [84.9%] infections. Bloody diarrhea was mostly due to Shigella infection [74.3%]. As regards diarrhea with multiple pathogens, vomiting and dehydration were most frequent with Campylobacter+Enteropathogenic Escherichia coli [EPEC] [88.9% and 77.8%, respectively], while fever was more common with rotavirus+Shigella+Escherichia coli and rotavirus+Giardia. Infection with invasive organisms lead to vomiting, 4-10 stools per day and dehydration significantly more often as compared to infections with non-invasive organisms. Similarly more stools of patients infected with invasive organisms showed presence of blood and more than 5 leukocytes/HPF as compared to those infected with non-invasive organisms


Subject(s)
Humans , Diarrhea/diagnosis , Cholera/complications , Salmonella/pathogenicity , Dehydration
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