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首页> 美国卫生研究院文献>ISRN Microbiology >Clinical and Epidemiologic Features of Diarrheal Disease due to Aeromonas hydrophila and Plesiomonas shigelloides Infections Compared with Those due to Vibrio cholerae Non-O1 and Vibrio parahaemolyticus in Bangladesh
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Clinical and Epidemiologic Features of Diarrheal Disease due to Aeromonas hydrophila and Plesiomonas shigelloides Infections Compared with Those due to Vibrio cholerae Non-O1 and Vibrio parahaemolyticus in Bangladesh

机译：孟加拉国嗜水气单胞菌和志贺氏假单胞菌感染引起的腹泻病的临床和流行病学特征与霍乱弧菌非O1和副溶血性弧菌引起的腹泻相比较

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Using data from the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) from 1996 to 2001, we compared the clinical features of diarrhea in patients with stool specimens yielding only A. hydrophila (189 patients; 1.4% of 13,970 patients screened) or P. shigelloides (253 patients) compared to patients with sole V. cholerae non-O1 infection (99 patients) or V. parahaemolyticus infection (126 patients). Patients exhibited similar frequencies of fever (temperature >37.8°C), stools characterized as watery, and stools containing visible mucus. Dehydration was observed more often among patients with V. parahaemolyticus or V. cholerae non-O1 infection. Compared to patients infected with V. parahaemolyticus, those with A. hydrophila, P. shigelloides, or V. cholerae non-O1 infection were less likely to report visible blood in the stool and, on microscopic examination, less likely to exhibit stool red blood cell and white blood cell counts exceeding 20 cells per high power field. The proportion of patients reporting subjective cure at the time of discharge was significantly smaller for those infected with V. parahaemolyticus. These findings suggest that A. hydrophila and P. shigelloides produce diarrheal disease that is less severe than that resulting from infection with V. cholerae non-O1 or V. parahaemolyticus.
机译：使用孟加拉国国际腹泻病研究中心（icddr，b）1996年至2001年的数据，我们比较了粪便标本仅产生亲水性链球菌的腹泻患者的临床特征（189例患者；接受筛查的13,970例患者中的1.4％）与单纯霍乱弧菌非O1感染的患者（99例）或副溶血性弧菌感染（126例）相比，志贺氏疟原虫或志贺氏疟原虫（253例）。患者表现出相似的发烧频率（温度> 37.8°C），大便呈水状和粪便可见粘液。在副溶血性弧菌或霍乱弧菌非O1感染患者中更经常观察到脱水。与溶血性弧菌感染的患者相比，亲水性链球菌，志贺氏疟原虫或霍乱弧菌非O1感染的患者报告粪便中可见血液的可能性较小，而在显微镜检查下，粪便红色血液的可能性较小每个高倍视野中的细胞和白细胞计数超过20个细胞。对于副溶血性弧菌感染者，报告出院时主观治愈的患者比例明显较小。这些发现表明，嗜水气单胞菌和志贺氏假单胞菌产生的腹泻病的严重性低于感染非O1霍乱弧菌或副溶血性弧菌的腹泻病。

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