Total 553 cases of acute diarrhea who were admitted to pediatric department of Severance Hospital from Jan. 1967 to Dec. 1971, were subjected in this study.
Among these, 116 dysenteric cases(21%) were analysed as followings:
1) The incidence of dysentery was highest from 6 months after birth to 2 yrs., and relatively rare below the 6 months of age.
2) The character of stool was mucobloody and the frequency was more than 10 times in 50% of cases or more.
3) Neurologic symptoms were seen more frequently in dysentery than other kind of diarrhea, which were seen in more than 1/3 cases of shigellosis.
4) Leukocyte count was variable from marked leukopenia to leukocytosis. But in shigellosis, in the initial period, the stab form neutropniles were more numerous than segmented forms, regardless of the counts of total neutropniles. yhis would be a grear help in early diagnosis of shigellosis.
5) The most common pathogenic group of bacillary dysentery was Shigella flexneri.
|