Infectious diarrhea Bacillary dysentery Shigellosis Yu Zebo
Bacillary dysentery Shigellosis Infectious diarrhea Yu Zebo
Case report Patient xxx,female,25-year-old,nursemaid,Suddenly onset 2 days ago with general malaise, chill fever,fatigue,headache and cramping abdominal pain,especially in left inferior abdomen ,then followed diarrhea with water stool initially,and then bloody purulent stools,10~20 times per day,accompanied with burning sensation at Anus-tenesmus. Five days ago this woman had nursed a diarrhea patient. Term explanation:Tenesmus is the constant feeling of the need to pass stool,accompanied by pain,cramping because of inflammatory of the bowel,but little stool is passed. 2025/3/26 Shigellosis 2
2025/3/26 Shigellosis 2 ◼ Patient xxx,female,25-year-old,nursemaid, Suddenly onset 2 days ago with general malaise, chill ,fever ,fatigue ,headache and cramping abdominal pain ,especially in left inferior abdomen ,then followed diarrhea with water stool initially, and then bloody purulent stools, 10~20 times per day ,accompanied with burning sensation at Anus- tenesmus. Five days ago this woman had nursed a diarrhea patient. Case report Term explanation： Tenesmus is the constant feeling of the need to pass stool, accompanied by pain, cramping because of inflammatory of the bowel, but little stool is passed
PE:T39.5℃，R30/m,P110/m,BP110/80mmHg。Press- pain on the left inferior abdomen Blood test:WBC 12.5X 10%/L;neutrophilic leukocyte 85%. Stool test:WBC 50~60/HP,RBC20~30/HP. Questions 1.What disease is the patient suffered from? 2.What is the principle of treatment for this patient? 3.How to prevent this disease? 2025/3/26 Shigellosis
2025/3/26 Shigellosis 3 ◼ PE：T 39.5℃，R 30/m，P 110/m，BP 110/80mmHg。Presspain on the left inferior abdomen ◼ Blood test: WBC 12.5×109 /L;neutrophilic leukocyte 85%。 Stool test: WBC 50~60/HP，RBC20~30/HP。 Questions ◼ 1.What disease is the patient suffered from? ◼ 2.What is the principle of treatment for this patient? ◼ 3.How to prevent this disease?
Contents ■General condition ■ Etiology←= It's specific features that there are ■Epidemiology microorganisms for infectious diseases ■Pathogenesis chemical factors Clinical manifestation physic factors Laboratory examination ■Diagnosis ■ Differential diagnosis No microorganisms ■Treatment ■Prevention 2025/3/26 Shigellosis 4
2025/3/26 Shigellosis 4 Contents ◼ General condition ◼ Etiology ◼ Epidemiology ◼ Pathogenesis ◼ Clinical manifestation ◼ Laboratory examination ◼ Diagnosis ◼ Differential diagnosis ◼ Treatment ◼ Prevention It’s specific features that there are microorganisms for infectious diseases chemical factors physic factors No microorganisms
1.General condition Definition: Shigellosis is also called bacillary dysentery,this is an acute bacterial disease characterized by fever, nausea,vomiting,cramps,diarrhea and feeling of tenesmus caused by Shigella species.In most cases,the stools contain blood and mucus. Tenesmus is the constant feeling of the need to pass stool, accompanied by pain,cramping because of inflammatory of the bowel,but little stool is passed 2025/3/26 Shigellosis
2025/3/26 Shigellosis 5 1. General condition ◼ Definition: Shigellosis is also called bacillary dysentery, this is an acute bacterial disease characterized by fever, nausea, vomiting, cramps, diarrhea and feeling of tenesmus caused by Shigella species. In most cases, the stools contain blood and mucus. Tenesmus is the constant feeling of the need to pass stool, accompanied by pain, cramping because of inflammatory of the bowel, but little stool is passed