Aeromonas-Associated Diarrheal Disease

產氣單胞菌有關之下痢症

林炫沛(Shuan-Pei Lin) ； 邱世昌(Shr-Chang Chyou) ； 黃富源(Fu-Yuan Huang) ； 李宏昌(Hung-Chang Lee) ； 吳文豪(Wen-Haur Wu) ； 楊定一(Ding-Ie Yang)

《Acta Paediatrica Sinica》 27卷3期 (1986/06) Pp. 216-222

摘要

The prevalence of Aeromonas spp. in diarrheal patients of Mackay Memorial Hospital was studied. Stool specimens from 2,836 patients with diarrhea and 3,483 patients without diarrhea were collected and cultured during a 2 years period beginning January, 1983. Aeromonas spp. were isolated from 42 patients with diarrhea (1.48%) and 6 patients without diarrhea (0.17%). The isolation rate of Aeromonas spp. in patients younger than 4 months of age was 2.52% (19/1,152) in those with diarrhea and 0.17% (6/3,483) in those without diarrhea. The difference was significant (P＜0.00.l). The diarrheal disease was strongly considered to be aeromonas-associated and took 3 presentation forms: (1) watery diarrhea accompanied with mild fever and vomiting (32 cases); (2) bloody, mucoid stools (3 cases); (3) chronic diarrhea for more than 2 weeks (7 cases). It occurred mainly from May to December and most commonly presented itself in infants under 6 months of age (71.4%). It appeared to be self-limiting and required no specific treatment. Nevertheless, antimicrobial therapy should be considered for patients with chronic diarrhea and for those with malignant disease who are at risk of developing aeromonas septicemia.

並列摘要

The prevalence of Aeromonas spp. in diarrheal patients of Mackay Memorial Hospital was studied. Stool specimens from 2,836 patients with diarrhea and 3,483 patients without diarrhea were collected and cultured during a 2 years period beginning January, 1983. Aeromonas spp. were isolated from 42 patients with diarrhea (1.48%) and 6 patients without diarrhea (0.17%). The isolation rate of Aeromonas spp. in patients younger than 4 months of age was 2.52% (19/1,152) in those with diarrhea and 0.17% (6/3,483) in those without diarrhea. The difference was significant (P＜0.00.l). The diarrheal disease was strongly considered to be aeromonas-associated and took 3 presentation forms: (1) watery diarrhea accompanied with mild fever and vomiting (32 cases); (2) bloody, mucoid stools (3 cases); (3) chronic diarrhea for more than 2 weeks (7 cases). It occurred mainly from May to December and most commonly presented itself in infants under 6 months of age (71.4%). It appeared to be self-limiting and required no specific treatment. Nevertheless, antimicrobial therapy should be considered for patients with chronic diarrhea and for those with malignant disease who are at risk of developing aeromonas septicemia.

並列關鍵字

aeromonas ； enterotoxigenic Aeromonas spp. ； aeromonas-associated gastroenteritis