title: Etiology of diarrhea in a rural community in western Thailand: importance of enteric viruses and enterovirulent Escherichia coli.
abstract: The etiology of gastroenteritis was determined in children and adults with diarrhea seen at a district hospital and three government health clinics in Suan Phung, western Thailand, in 1991. Enteric viruses (rotavirus and astrovirus) were identified in 40%, shigellae in 18%, attaching and effacing Escherichia coli in 13%, Campylobacter jejuni in 9%, and enterotoxigenic E. coli in 7% of children < 5 years old with diarrhea seen at the hospital. Enteric viruses were detected in 15% (24/156) of patients with diarrhea > or = 5 years old and were the only enteric pathogens identified in 12 patients ages 7-79 years (2 astrovirus, 10 rotavirus infections). Attaching and effacing E. coli, rotavirus, and astrovirus were potential causes of diarrhea in children and adults in this population.
authors.affiliation: Armed Forces Research Institute of Medical Sciences, Army Institute of Pathology, Bangkok, Thailand.
authors.forename: P
authors.initials: P
authors.lastname: Echeverria
authors.forename: C W
authors.initials: CW
authors.lastname: Hoge
authors.forename: L
authors.initials: L
authors.lastname: Bodhidatta
authors.forename: C
authors.initials: C
authors.lastname: Tungtaem
authors.forename: J
authors.initials: J
authors.lastname: Herrmann
authors.forename: S
authors.initials: S
authors.lastname: Imlarp
authors.forename: K
authors.initials: K
authors.lastname: Tamura
mesh_terms: D000260:Adenoviruses, Human / Q000302:isolation & purification; D000293:Adolescent; D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000382:microbiology; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000382:microbiology* / Q000469:parasitology; D004926:Escherichia coli / Q000302:isolation & purification / Q000472:pathogenicity; D004927:Escherichia coli Infections / Q000382:microbiology*; D005260:Female; D005759:Gastroenteritis / Q000382:microbiology* / Q000469:parasitology; D006801:Humans; D007223:Infant; D007411:Intestinal Diseases, Parasitic / Q000469:parasitology; D008297:Male; D001257:Mamastrovirus / Q000302:isolation & purification; D008875:Middle Aged; D011446:Prospective Studies; D012401:Rotavirus / Q000302:isolation & purification; D012424:Rural Population; D013785:Thailand; D014774:Virulence; D014777:Virus Diseases / Q000382:microbiology*