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Childhood Dysentery In Ilesa, Nigeria: The Unusual Role Of Entamoeba Histolytica

机译:尼日利亚伊莱莎州的儿童痢疾:Entamoeba Histolytica的不寻常作用

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Background: Shigella species are the usual aetiologies of dysentery in the developing world while Entamoeba histolytica is regarded as uncommon in young children. Objective: To determine the prevalence of Entamoeba histolytica in childhood dysentery in Ilesa, Nigeria.Method: A cross-sectional survey of consecutive under-five children with bloody diarrhoeic stools. Fresh stool specimens were examined microscopically and also cultured on Desoxycholate Citrate Agar (DCA) and MacConkey Agar.Results: A total of 300 under-five children with diarrhoea were recruited out of which 41 had dysentery giving a prevalence of 13.7%. Trophozoites of Entamoeba histolytica were identified in 33 (80.5%) cases while Trichuris trichiuria and Shigella species were isolated in 1 (2.4%) and 4 (9.8%) cases respectively. No pathogens were identified in 2 (4.9%) cases.Conclusion: Entamoeba histolytica is a prominent aetiology of childhood dysentery in Ilesa, Nigeria.
机译:背景:志贺氏菌是发展中国家痢疾的常见病因,而溶组织性变形杆菌(Entamoeba histolytica)在幼儿中不常见。目的:确定尼日利亚伊莱萨州儿童痢疾中溶组织性变形杆菌的患病率。方法:一项连续的5岁以下儿童腹泻性血便的横断面调查。对新鲜粪便标本进行显微镜检查,并在柠檬酸去氧胆酸琼脂(DCA)和MacConkey琼脂上进行培养。结果:总共招募了300名五岁以下腹泻儿童,其中41人有痢疾,患病率为13.7%。检出了33例(80.5%)溶血性变形杆菌的滋养体,而分离到的Trichuris trichiuria和志贺氏菌则分别检出1例(2.4%)和4例(9.8%)。在2例(4.9%)病例中未发现病原体。结论:溶组织性变形杆菌是尼日利亚伊莱莎州儿童痢疾的主要病因。

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