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9.3.11

How to diagnose acute bacterial dysentery

Acute bacterial intestinal infectious diseases are caused by shigella dysentery. Except infants less regard SB. as an outsider, visible at the age of children, occurs in summer and autumn, other seasons have sporadic cases. Therefore, in the summer and autumn diarrhea in children, should be thought of acute bacillary dysentery in May. Within 2-3 days before the onset of children with a history of inauspicious contains; someone diarrhea or family members, it is possible for infection.


Almost all of the first performance was in children with fever. Height of the fever is indefinite, most high fever to see. In addition to fever, gastrointestinal performance have appeared, such as diarrhea and abdominal pain. Number of diarrhea frequently, up to 10~30 times a day, but the amount of manure. Typical of the stool for pus (so-called white diarrhea), pus or blood (red dysentery), can also be mucus, infants even of indigestion were only stool. Week or lower left abdominal pain sites in abdomen, paroxysmal. Appear accompanied by abdominal pain, defecation over Chang Jue and defecation, always have a row of not feeling. This situation is called \"tenesmus\" seen in older infants, babies are rare. Other gastrointestinal symptoms include vomiting, abdominal distention, eating not fragrant, but not all children must have.


If children have such performance, especially when there is pus pus or blood, basic diagnosis of acute bacterial dysentery is undoubtedly. But if there is no obvious when pus pus or blood, faecal microscopy should be made, such as seeing a large number of white blood cells, or white blood cells and red blood cells and sometimes can be diagnosed as acute bacterial dysentery. Therefore, when a suspicious for acute diarrhea, be sure to take the manure for microscopy, and only with a microscope to check no red and white blood cells, are often unable to completely negate the diagnosis of acute bacillary dysentery, again, and even checked multiple times. To be diagnosed as acute bacterial dysentery, and fecal bacteria checks should be made, by pus and blood is also found in other intestinal diseases, even non-intestinal diseases. When manure produced Shigella, can be finally confirmed. Note for bacterial culture of stool is fresh, such as the time for too long, can affect stool culture results, of course, will affect the correct diagnosis.

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