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[气单胞菌属在小儿肠胃炎中的患病率]

[Prevalence of Aeromonas spp. pediatric gastroenteritis].

作者信息

Leblanc M, Delage G, Rousseau E, Dobrescu O, Bernard-Bonnin A C

机构信息

Département de Pédiatrie hôpital Sainte-Justine, université de Montréal, PQ.

出版信息

CMAJ. 1988 Apr 15;138(8):714-7.

Abstract

A selective medium and biochemical tests were used to search for Aeromonas spp. in the stools of 536 children, more than 90% of whom had "gastroenteritis", seen at Sainte-Justine Hospital, Montreal, in June or July 1986. The organism was found in seven children, six of whom had bloody diarrhea. One of the six, a 6 1/2-year-old boy, required intravenous alimentation and later manifested ulcerative colitis; the other five recovered. The remaining child, a 14-year-old boy, had synovitis of the knee and spondylarthritis. Two of the seven carried other enteric pathogens. The authors discuss the pathogenicity of Aeromonas spp., which is not very marked in temperate climates, in human summer diarrhea and its possible role in the development of ulcerative colitis.

摘要

采用选择性培养基和生化试验,对1986年6月或7月在蒙特利尔圣贾斯汀医院就诊的536名儿童粪便进行嗜水气单胞菌属检测,其中90%以上的儿童患有“肠胃炎”。在7名儿童粪便中发现该菌,其中6名儿童患有血性腹泻。6名患者中的1名,一名6岁半的男孩,需要静脉营养支持,随后被诊断为溃疡性结肠炎;其他5名患者康复。其余一名14岁男孩,患有膝关节滑膜炎和脊椎关节炎。7名患者中的2名同时携带其他肠道病原体。作者讨论了嗜水气单胞菌属在温带气候中致病性不显著,在人类夏季腹泻中的作用及其在溃疡性结肠炎发病中的可能作用。

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