Speelman P, Struelens M J, Sanyal S C, Glass R I
Scand J Gastroenterol Suppl. 1983;84:19-23.
To determine the distribution of pathogens associated with travellers' diarrhoea in Bangladesh, we have studied 269 expatriates who presented with diarrhoea to our clinic, over a one-year period. Patients were interviewed about their history of diarrhoea and a stool specimen examined for parasites and cultured for Campylobacter jejuni, Shigella sp., Salmonella sp., Vibrio and Aeromonas hydrophila and Plesiomonas shigelloides. C. jejuni and Shigella sp. were each isolated from 45 patients (17%) and P. shigelloides, A. hydrophila and V. cholerae non 01 from 7, 2 and 4 patients respectively. Patients with C. jejuni developed diarrhoea earlier after their arrival in Bangladesh than patients with Shigella. Fever and dysentery were significantly more common in patients with C. jejuni and Shigella. Infections with C. jejuni were less frequently associated with dysentery than infections with Shigella sp. Both C. jejuni and Shigella are commonly associated with travellers' diarrhoea in Bangladesh, and P. Shigelloides, A. hydrophila and V. cholerae non 01 may have an infrequent but potentially pathogenic role.
为确定孟加拉国与旅行者腹泻相关的病原体分布情况，我们在一年时间里对269名因腹泻前来我们诊所就诊的外籍人士进行了研究。我们询问了患者的腹泻病史，并对粪便样本进行寄生虫检查，同时培养空肠弯曲菌、志贺菌属、沙门菌属、弧菌以及嗜水气单胞菌和类志贺邻单胞菌。空肠弯曲菌和志贺菌属分别从45名患者（17%）中分离得到，类志贺邻单胞菌、嗜水气单胞菌和非01群霍乱弧菌分别从7名、2名和4名患者中分离得到。感染空肠弯曲菌的患者在抵达孟加拉国后比感染志贺菌属的患者更早出现腹泻。发热和痢疾在感染空肠弯曲菌和志贺菌属的患者中更为常见。与感染志贺菌属相比，空肠弯曲菌感染与痢疾的关联较少。在孟加拉国，空肠弯曲菌和志贺菌属均常与旅行者腹泻相关，而类志贺邻单胞菌、嗜水气单胞菌和非01群霍乱弧菌可能起作用频率较低但具有潜在致病性。
