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KMID : 0378019660090060043
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New Medical Journal
1966 Volume.9 No. 6 p.43 ~ p.48
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Clinical Studies of 85 Cases of Amebic Dysentery in Childern
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Abstract
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From Jan. 1964 to 1965, 85 children with amebic dysentery in Pusan Children´s Charity Hospital were observed. The results were as follow:
1) 1 Concerning the age difference, the highest incidence was noted in the group of the children below 6 years of age, that was 80% of the total patients ;and numbers of the infant were 28(32.9%) of the total patients. Concerning the seasonal difference the incidence in summer was found to be highest.
2) As the initial manifestations, diarrhea was complainded from all of the patients and fever(70 % )., vomiting (36.5%), dehydration(35.4%) were observed in order that were prominent in infant and young children.
3) In stool character, most of the patients(38.8%) showed mucus and blood from the onset and mucoid stool was observed in 27% of the total patients. The frequency of stool was over 6 to 10 times per day in 76% of the total patients.
4) As the physical findings, leucocytosis(51.8 % ), generalized edema(25.9% ), and hepatomegaly(3.5 /) were observed in order. Bronchitis and pneumonia(15.3%) were observed as the complication, but liver abscess was not found.
5) Cure rate was 95.5% and concerning the difference dependent on the therapeutic drugs the follow-up study indicated that a combination therapy using antibiotics(Tetracycline) with amebicides such as Diodoquine was effective than antibiotics alone.
In most of cases, disapperence of the ameba in stool was noted within 4-8 days and mucus was disapperenced within 2-4 days, respectively. after initiation of therapy.
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