Clinical Analysis of a Dysentery Outbreak in Taichung

台中地區痢疾流行的臨床分析

賴世偉(Shih-Wei Lai) ； 林曉娟(Hsiao-Chuan Lin) ； 林正介(Cheng-Chieh Lin) ； 劉秋松(Chiu-Shong Liu) ； 施永泰(Yung-Tai Shih) ； 彭慶添(Ching-Tien Peng) ； 蔡長海(Chang-Hai Tsai) ； 蔡輔仁(Fuu-Jen Tsai) ； 黃金財(Kim-Choy Ng)

《Acta Paediatrica Taiwanica》 41卷1期 (2000/02) Pp. 18-21

https://doi.org/10.7097/APT.200002.0018

摘要

1993年9月中國醫學院附設醫院收集了困痢疾至本院求診的病例，總共207例。此次痢疾仍然以阿米巴痢疾人數最多，佔67.6%，合併感染阿米巴痢疾與志賀氏痢疾者佔19.3%，感染志賀氏痢疾者佔13.1%。顯然地阿米巴痢疾是此次流行的主要原因。此次痢疾流行症狀仍然以腹瀉最常見，依次為發燒、腹痛、黏液性大便與血便等等，並未發現肝痬的病例。由於台中市已經多年未有眾多阿米巴痢疾個案聚集之情形，因此我們認為至疫區旅遊可能是此次阿米巴痢疾流行的潛在原因。由於該校的供水系統主要是地下水，這些水源可能被至疫區旅遊的個案污染染了。因此我們推測經由糞口傳染仍然是最主要的傳染途徑。

關鍵字

阿米巴痢疾 ； 志賀氏痢疾

並列摘要

In September 1993, we collected 207 patients due to dysentery, who visited the Department of Pediatrics at China Medical College Hospital. In our report, 67.6% of these patients were amebic dysentery, 19.3% were combined infection with amebic and Shigella sonnei dysentery, and 13.1% were Shigella sonnei dysentery. Therefore, amebic dysentery was the predominant cause during this outbreak. The clinical features of this outbreak were, in descending order, watery stool, fever, abdominal pain, mucinous stool and bloody stool. No concurrent liver abscess was discerned. Because there had not been such a clustering of dysentery in Taichung for so many years, we thought that travel to endemic areas might have been the underlying predisposing cause. Most of the school water supplying system was ground water, which might have been contaminated by a few patients returning from endemic areas. We thought that fecal-oral route by contaminated water might have been the primary transmission route.

並列關鍵字

amebic dysentery ； Shigella sonnei dysentery