PMID: 325127Jun 1, 1977Paper

A microbiological investigation of acute summer gastroenteritis in black South African infants

The Journal of Hygiene
B D SchoubR C Ballard

Abstract

A microbiological investigation of Black infants suffering from severe acute summer gastroenteritis revealed enteropathogenic agents in 30 out of 37 patients (81%). Enterotoxigenic bacteria were isolated from 15 patients (41%). A total of 16 enterotoxigenic strains were isolated, comprising 9 enterotoxigenic Escherichia coli strains secreting labile and stable toxin on their own and in combination, and labile-toxin secreting strains of Klebsiella pneumoniae (4), Enterobacter cloacae (2) and Proteus vulgaris (1). In the case of the latter three species, however, 6 out of the 7 strains were isolated from patients who were excreting other enteric pathogens, whereas only 2 out of 9 enterotoxigenic E. coli patients had concomitant infections with other pathogens. No invasive bacteria were isolated except for 2 shigella strains. Salmonella and shigella strains were found in four patients. No correlation was found between the enteropathogenicity of E. coli and its serotype. Rotavirus was observed by negative staining electron microscopy in only two patients (6%) but using a reverse complement fixation test rotavirus antigen was detected in the stool of 17 out of 35 patients (49%). The low EM detection rate may well be due to the patie...Continue Reading

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Citations

Aug 1, 1979·The Journal of Hygiene·M L DanielssonT Wadström
Dec 1, 1985·The Journal of Hygiene·R J Gross, B Rowe
May 1, 1979·Archives of Disease in Childhood·H M LewisH B Valman
Dec 1, 1980·Archives of Disease in Childhood·R M Robins-BrowneE Hartman
Sep 24, 1977·British Medical Journal
Jan 1, 1978·Archives of Virology·T H Flewett, G N Woode
Jul 11, 2007·Infectious Agents and Cancer·Fernanda MartiniMauro Tognon
Oct 27, 2016·PloS One·Michel TchuencheSteven Forsythe
May 1, 1991·Transactions of the Royal Society of Tropical Medicine and Hygiene·C Simango, G Rukure
May 1, 1984·Clinical Pediatrics·I A Elegbe, E O Ojofeitimi
Jan 1, 1982·Journal of Medical Virology·B D SchoubE Kushlick
Aug 1, 1984·Archives of Disease in Childhood·L RabinowitzH C Seftel
Dec 1, 1989·Annals of Tropical Paediatrics·W E LoeningJ van den Ende
Jun 1, 1981·Acta Pathologica Et Microbiologica Scandinavica. Section B, Microbiology·A B Otnaess, S Halvorsen
Feb 1, 1990·Journal of Clinical Microbiology·R P RennieD E Mahony
Apr 1, 1981·Applied and Environmental Microbiology·S F JiwaT Wadström
Jun 1, 1982·Applied and Environmental Microbiology·W O GrabowW E Scott
Nov 1, 1983·Infection and Immunity·F A KlipsteinR A Houghten
Mar 1, 1989·Journal of Clinical Microbiology·A D Steele
Nov 1, 1983·The Journal of Infection·R J Gross

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