[Clinical and morphological aspects of shigellosis flexneri in patients with an aggravated premorbid state].
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.
Iushchuk
N D
ND
State Medical Stomatological University, Sechenov Medical Academy, Moscow, Russia.
Rozenblium
A Iu
AIu
Parkhomenko
Iu G
IuG
Efremova
L V
LV
Tishkevich
O A
OA
Karmanov
M I
MI
Kanshina
N N
NN
Burov
V P
VP
Bergman
G A
GA
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