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)
Diarrhea, Infantile/microbiology , Enterobacteriaceae Infections , Enterobacteriaceae/isolation & purification , Campylobacter Infections/diagnosis , Dehydration/microbiology , Diarrhea, Infantile/parasitology , Diarrhea, Infantile/pathology , Diarrhea, Infantile/virology , Dysentery, Bacillary/diagnosis , Enterobacteriaceae Infections/diagnosis , Escherichia coli Infections/diagnosis , Feces/microbiology , Feces/parasitology , Feces/virology , Fever/microbiology , Fever/parasitology , Fever/virology , Giardiasis/diagnosis , Humans , Infant , Infant, Newborn , Leukocytes/pathology , Rotavirus Infections/diagnosis , Salmonella Infections/diagnosis , Vibrio Infections/diagnosis , Vomiting/microbiology , Yersinia Infections/diagnosisABSTRACT
In the past two decades, several reports have documented inflammatory changes in acquired diverticula of the terminal ileum and their associated complications, namely, perforation, intestinal obstruction, gastrointestinal hemorrhage, and fistulization. A comprehensive review revealed 28 cases of diverticulitis of the terminal ileum documented in the world medical literature. Only one case of internal fistula (ileovesical) has been reported previously. This report describes another patient with diverticulitis of the terminal ileum with associated perforation and jejunoileal fistula and reviews the world literature.
