chronic bacillary dysentery
Introduction
Introduction to chronic bacterial dysentery Chronic bacillary dysentery is mostly caused by improper treatment in the acute phase, or malnutrition, rickets, intestinal parasitic diseases, and food and health. Often manifested as atypical symptoms of dysentery, abdominal pain, diarrhea, bloating and so on. When you are cold or eat cold food, it can cause an acute attack, which will cause diarrhea, abdominal pain and pus and blood. basic knowledge Sickness ratio: 0.1% Susceptible people: no special people Mode of infection: digestive tract spread Complications: Arthritis Abortion Premature malnutrition Anemia Reiter syndrome Leukemia response Otitis media Oral keratitis Septicemia
Cause
Chronic bacterial sputum
The history of unclean diet and exposure in the week before the illness, the prevalence of the local disease.
Prevention
Chronic bacillary dysentery prevention
1, looking for incentives, symptomatic treatment. Avoid overwork, do not let the abdomen get cold, do not eat cold food. Those with weak constitution should use immunopotentiators in a timely manner. When there is an imbalance in the intestinal flora, avoid using the antibiotics and stop using the drug-resistant antibiotics immediately. Use enzymes or lactobacilli to facilitate intestinal anaerobic growth.
2, for the intestinal mucosal lesions have been cured for a long time, while using retention enema therapy.
note:
(1) Source of infection: including patients and carriers, patients with acute non-acute typical bacillary dysentery and chronic concealed bacillary dysentery as an important source of infection.
(2) Route of transmission: Shigella bacilli are excreted with the feces of patients or carriers, and are transmitted through contaminated hands, food, water or living contact, or indirectly through flies, cockroaches, etc., and eventually enter the digestive tract to make susceptible people suffer. Tender.
(3) Susceptibility of the population: The population is generally susceptible to dysentery bacilli, preschool children are more ill, and are associated with poor health habits. Adult patients are associated with decreased body resistance and exposure to infection, and there is no consolidation after suffering from the same type of bacillary dysentery. Immunity, no cross-immunization between different bacterial groups and different serotypes of dysentery bacilli, resulting in repeated infection or re-infection and repeated onset.
Complication
Chronic bacillary dysentery complications Complications, arthritis, abortion, premature dystrophy, anemia, Reiter syndrome, leukemia, otitis media, keratitis
1. During the recovery period, there may be more occurrences, exudative arthritis, joint swelling and self-reduction within a few weeks.
2. Severe pregnant women can cause miscarriage or premature birth.
3. Chronic bacillary dysentery with ulcerative colon disease, can be complicated by malnutrition, anemia, vitamin deficiency and neurosis.
4. Can lead to hemolytic uremic syndrome, Reiter syndrome, leukemia-like reactions. Children with otitis media, angular cheilitis, and rectal prolapse.
5. Concomitant sepsis is rare, with double manifestations of bacillary dysentery and sepsis, but the condition is more dangerous, the mortality rate is high, and the baby is older within 1 year of age.
Symptom
Symptoms of chronic bacterial dysentery Common symptoms Diarrhea Defecation frequency Abnormal abdominal pain Abdominal tenderness
Because of the different types of bacillary bacilli entering the human body, the number and the resistance of each person are different, so the symptoms are also different. Therefore, clinically, dysentery is divided into acute and chronic.
First, acute dysentery
According to the symptoms, acute dysentery is divided into four types: light, normal, heavy and poisonous. In the poisoning type, it is divided into shock type and brain type according to the condition. Although parents do not have to rigorously classify their child's condition, they should understand the basic symptoms of dysentery and the outcome of the change in the condition.
Light dysentery
This is the lightest type of dysentery, usually only mild abdominal pain, diarrhea, stool 2-4 times a day, watery or mushy, no pus and blood, sometimes mixed mucus, relieve abdominal pain after dissolution, most do not heat or Only low heat. Because the symptoms are not typical, they are often misdiagnosed as general enteritis.
2. Ordinary type
This type has more typical symptoms of dysentery, fever, body temperature can be as high as 39 ° C, individual children can be as high as 40 ° C or more. There is no abdominal pain, diarrhea, only nausea, vomiting, headache and other symptoms. Therefore, it was often misdiagnosed as a bad cold at the beginning, and paroxysmal abdominal pain and diarrhea began to appear several hours later. Beginning with loose stools, pus and bloody stools appear, because at this time the intestinal mucosa has ulcers and necrosis, so there is a clear sense of falling.
Heavy
The severe dysentery is acute, with high fever. The daily stool frequency can reach 20-30 times. The stool is pus-like blood, the amount is small, the abdominal pain is severe, the falling is heavier, and even the toilet is not wanted to leave, the limbs are cold, and dehydration occurs soon. Some can have disturbances of consciousness.
Examine
Examination of chronic bacterial dysentery
Inspect stool routine, pay attention to check protozoa (such as amoeba, Cryptosporidium), trichomoniasis, mold and various parasite eggs; if necessary, check common pathogens by PCR; stool culture (aerobic bacteria, anaerobic bacteria) ); drug sensitivity test; immune function; liver function; and plasma albumin, prealbumin, nitrogen balance.
Diagnosis
Diagnosis and diagnosis of chronic bacterial dysentery
Should be identified with the following diseases
(1) Amoebic dysentery is generally slow, with few symptoms of toxemia. It is less severe after urgency, less frequent stools, and more abdominal pain on the right side. Typical stools are jam-like and rancid. Microscopic examination only saw a small number of white blood cells, red blood cells condensation group, often with Charcot-Ryden's crystal, you can find the amoeba trophozoite. Sigmoidoscopy, see most of the mucosa is normal, there are scattered ulcers. The disease is easy to complicated with liver abscess.
(2) Epidemic encephalitis B The performance and epidemic season of this disease is similar to that of bacillary dysentery (heavy or poisoned). The latter is more acute, rapid progress, and easy to have shock. It can be warmed by saline enema and microscopic examination and bacteria. to cultivate. In addition, the disease should be differentiated from Salmonella infection, Vibrio parahaemolyticus food poisoning, Escherichia coli diarrhea, Campylobacter jejuni enteritis, viral enteritis. Chronic bacillary dysentery should be differentiated from chronic schistosomiasis, rectal cancer, and non-specific ulcerative colitis.
