title: [Clinical and morphological aspects of shigellosis flexneri in patients with an aggravated premorbid state].
abstract: The analysis of 10 fatal outcomes in patients with acute shigellosis during the period of 1999-2000 made it possible to find out that most of deceased shigellosis patients belonged to the group inclined to alcohol abuse and having initial alimentary disturbances. In 6 cases of acute shigellosis with fatal outcome the causative agent was S. flexneri 2a, in 2 cases--S. flexneri 3a, in 1--S. flexneri 4b. The main cause of fatal outcomes was accompanying double pneumonia. Lesions of the intestinal tract in deceased shigellosis patients were of destructive character, resulting, in a number of cases, in serous and perforative peritonitis.
authors.affiliation: State Medical Stomatological University, Sechenov Medical Academy, Moscow, Russia.
authors.forename: N D
authors.initials: ND
authors.lastname: Iushchuk
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Rozenblium
authors.forename: Iu G
authors.initials: IuG
authors.lastname: Parkhomenko
authors.forename: L V
authors.initials: LV
authors.lastname: Efremova
authors.forename: O A
authors.initials: OA
authors.lastname: Tishkevich
authors.forename: M I
authors.initials: MI
authors.lastname: Karmanov
authors.forename: N N
authors.initials: NN
authors.lastname: Kanshina
authors.forename: V P
authors.initials: VP
authors.lastname: Burov
authors.forename: G A
authors.initials: GA
authors.lastname: Bergman
mesh_terms: D000208:Acute Disease; D000328:Adult; D000437:Alcoholism / Q000150:complications; D004405:Dysentery, Bacillary / Q000150:complications / Q000401:mortality / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D010538:Peritonitis / Q000145:classification / Q000150:complications / Q000209:etiology / Q000473:pathology; D011014:Pneumonia / Q000150:complications; D012703:Serotyping; D012720:Severity of Illness Index; D012763:Shigella flexneri