Haberberger R L, Mikhail I A, Burans J P, Hyams K C, Glenn J C, Diniega B M, Sorgen S, Mansour N, Blacklow N R, Woody J N
United States Naval Medical Research Unit No. 3, Cairo, Egypt.
Mil Med. 1991 Jan;156(1):27-30.
A study was conducted of travelers' diarrhea in a United States military population on deployment in Cairo, Egypt, during July and August 1987. Acute diarrhea requiring medical attention developed in 183 (4%) of 4,500 troops. A possible etiologic agent was identified in 49% of all diarrhea cases. Enteric pathogens associated with cases of diarrhea included: Enterotoxigenic Escherichia coli (17% ST-producers, 13% LT-producers, and 3% LT/ST-producers); Shigella (9%); Campylobacter spp. (2%); Salmonella (2%); and Vibrio cholerae non-01 serogroup (2%). Other enteric pathogens isolated from one episode each of diarrhea included Aeromonas hydrophila group, Plesiomonas shigelloides, and Bacillus cereus. Yersinia enterocolitica, enteroinvasive E. coli, intoxications by Clostridium perfringens and Clostridium difficile, and pathogenic enteric parasites were not found in any of the 183 patients with diarrhea. A survey of military personnel not requesting medical care indicated that up to 40% of troops may have had diarrhea during this deployment. Acute gastroenteritis is a potential cause of substantial morbidity in U.S. military personnel deployed to Egypt.
1987年7月和8月期间，针对部署在埃及开罗的美国军事人员的旅行者腹泻情况进行了一项研究。4500名士兵中有183人（4%）出现了需要就医的急性腹泻。在所有腹泻病例中，49%确定了可能的病原体。与腹泻病例相关的肠道病原体包括：产肠毒素大肠杆菌（17%产耐热毒素，13%产不耐热毒素，3%产耐热和不耐热毒素）；志贺菌属（9%）；弯曲菌属（2%）；沙门菌属（2%）；以及霍乱弧菌非01血清群（2%）。从每例腹泻中分离出的其他肠道病原体包括嗜水气单胞菌属、类志贺邻单胞菌和蜡样芽孢杆菌。在183例腹泻患者中，均未发现小肠结肠炎耶尔森菌、侵袭性大肠杆菌、产气荚膜梭菌和艰难梭菌中毒以及致病性肠道寄生虫。一项针对未就医的军事人员的调查表明，在此部署期间，高达40%的部队可能出现过腹泻。急性胃肠炎是部署到埃及的美国军事人员发病的一个潜在重要原因。
