Dysentery caused by Balantidium coliin a patient with non-Hodgkin's lymphoma from Turkey

Balantidium coli is the only parasitic ciliate of man. It is a flattened oval organism covered with cilia, and a gullet at the anterior end. It is infrequently pathogenic for man,although epidemic buds in tropical zones have been described. The infection fundamentally affects the colon and causes variable clinic pictures, from asymptomatic to serious dysenteric forms. We present a case of parasitologically diagnosed as causes of diarrhea in a patient with non Hodgkin's lymphoma from Turkey.In order to find out the causative etiologic agent of diarrhea,stool samples were examined by native,lugol and flotation methods and we detected moving trophozoites, which were approximately 60μm long and 35μm wide.These bodies were diagnosed as Balantidium coli This case underlines that Balantidium coli should also be considered as a possible pathogen in immunocompromised patients with diarrhea.

Quality Inspection and Preparation of Diarrhea Arresting and Dysentery Treating Dietary Traditional Chinese Herbal Medicine for Livestock

[Objective] This study was aimed to formulate the quality inspection of diarrhea arresting and dysentery treating dietary traditional Chinese herbal medicines for livestock.[Methods] Physiochemical identification and contrast test of UV spectrophotometer qualitative detection were adopted.[Results] The difference in the peak value of maximum adsorption peak detected by diluted water method was greater than 1 nm; the maximum adsorption peak values obtained by the 0.9％ hydrochloric acid and 60％ ethanol methods had a difference of less than 1 nm,and the secondary adsorption peak values also had a difference of less than 1 nm.[Conclusion] The 0.9％ hydrochloric acid and 60％ ethanol methods were selected as the quality inspection standards for the preparation of diarrhea arresting and dysentery treating dietary traditional Chinese herbal medicines for livestock.

ACUPUNCTURE TREATMENT OF 55 CASES OF ACUTE BACILLARY DYSENTERY

The therapeutic effect of acupuncture on bacillary dysentery was observed in 55 patients suffering from acute bacillary dysentery. Bilateral Tianshu (ST 25) and Zusanli (ST 36) points were chosen as the main points and Quchi was added for those with high fever. All the patients in this investigation were cured after one course of acupuncture treatment. It was noticed that their symptoms disappeared after average of 2. 4 days and stool laboratory test normalized after 2. 8 days on an average.It is concluded that acupuncture is effective and applicable to bacillary dysentery.

Modeling Dysentery Diarrhea Using Statistical Period Prevalence

Various epidemics have occurred throughout history,which has led to the investigation and understanding of their transmission dynamics.As a result,non-local operators are used for mathematical modeling in this study.Therefore,this research focuses on developing a dysentery diarrhea model with the use of a fractional operator using a one-parameter Mittag–Leffler kernel.The model consists of three classes of the human population,whereas the fourth one belongs to the pathogen population.The model carefully deals with the dimensional homogeneity among the parameters and the fractional operator.In addition,the model was validated by fitting the actual number of dysentery diarrhea infected cases covering 52 weeks in 2017,which occurred in Ethiopia.The biological parameters were fitted,and fractional orderνwas optimized.The basic reproduction numbers R0 were 1.7031 and 1.9581,which correspond to the fractional and integer-order models,respectively.The fractional model showed smaller discrepancies compared to the integer-order model when the models were fitted and validated with the actual cases of infected humans.Qualitative theory for the existence and uniqueness of the solutions was extensively explored,and the stability of equilibria was investigated.The most influential parameters were found via forward sensitivity indices.This multidisciplinary research shows and explains the results of numerical simulations applied to a biological issue.

Experimental Study on the Antibacterial Effect of Origanum Volatile Oilon Dysentery Bacilli In Vivo and In Vitro

To observe the germistatic and germicidal effects of origanum volatile oil (OVI) on the dysentery bacteria, the abdominal cavity of mice was infected with Shigella sonne (Sh. sonnei) and Shigella flexneri (Sh. flexneri) F 2a. After OVI was given to the mice via gastric lavage, the effects of OVI on the infected mice were observed. The minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC) for dysentery bacteria were determined in vitro. The results showed that origanum volatile oil showed obvious protective effect on mice infected with Sh. sonnei and Sh. flexneri F 2a. and it had germistatic and germicidal effects on dysentry bacteria. We are led to conclude that origanum volatile oil is an effective medicine against the infection of dysentery bacteria.

Effects of Fermented Whey in Treating Bacillary Dysentery and on the Gastrointestinal Flora of Apparently Healthy Albino Rats

In this study, the effects of fermented whey （FW） in treating bacillary dysentery caused by Shigellaflexneri in albino rats and on the gastrointestinal （GIT） flora of apparently healthy albino rats （AHARs） were investigated. Prior the therapeutic assay, the growth inhibitory activity （GIA） of whey subjected to different fermentation durations at 30 ~ 2 ~C was first investigated using agar diffusion assay on the test organism, conventional antibiotics served as control. After this, the infectious dose of the organism was determined and used to infect another set of AHARs. The infected rats were grouped into two; group one was treated with 1.0 mL of the FW that exerted the highest GIA in the in vitro assay （FW1）, once daily for 7 d while group two was left untreated. The rats were observed for signs of recovery while their large intestine was subjected to histopathological examinations. For the effects of whey on GIT flora of AHARs, another group of AHARs was fed with FW1 for 3months. At 7 d intervals, their faeces were examined for microbial types and load. The in vitro GIA of the FWs on the test organism was superior to that of most of the antibiotics used and the administration of FW1 to infected rats caused them to recover by 72 h while those not treated with FW1 started to recover by 168 h. FWl did not significantly （p 〈 0.05） affect the GIT microflora loads but only the types.

Study on the medication rule of Wang Xun in the treatment of dysentery based on Data Mining

Objective: Based on data mining, Wang Xun's medication rule in the treatment of dysentery was discussed. Methods: the traditional Chinese medicine used in the prescriptions for dysentery in Wang Xun's "Tzu hang Ji Sanyuan Puji Fang" was counted, the names of the drugs were standardized, and their properties, taste, efficacy and meridian tropism were investigated respectively. The database was established with the help of Microsoft Excel 2016, SPSS statistic 24.0 and SPSS modeler 18.0 computer software, and the frequency analysis and high-frequency drug association rules were carried out Analysis, cluster analysis. Results: 44 prescriptions of Wang Xun's dysentery were sorted out and 64 traditional Chinese medicines were used, of which 22 were high-frequency drugs (drugs with frequency ≥ 5%). The top ten drugs were Cheqianzi, Danggui, liquorice, Muxiang, white peony, Fructus aurantii, areca, Poria cocos, radish and rhubarb. The correlation analysis produced "Raphanus seed→Plantago asiatica, Bitter orange→liquorice, tangerine peel→Fructus aurantii, Fructus aurantii→Cheqianzi, areca There are 15 associations of 2 kinds of drugs, such as hammer, Cheqianzi, Fructus aurantii, Muxiang, and so on. Cluster analysis shows that there are 4 cluster formulas: Angelica, Cheqianzi, Raphani, Fructus aurantii, white peony, liquorice, areca, red peony, tangerine peel, rhubarb, Fructus aurantii, Magnolia officinalis and Coptis. Conclusion: the method of data mining is to study the rule of Wang's prescription in the treatment of dysentery, so as to summarize the characteristics of Wang's prescription in the treatment of dysentery, which has guiding significance for clinical treatment of dysentery.

Correlation Analysis for the Attack of Bacillary Dysentery and Meteorological Factors Based on the Chinese Medicine Theory of Yunqi and the Medical-Meteorological Forecast Model

Objective： To explore the impact of meteorological factors on the outbreak of bacillary dysentery, so as to provide suggestions for disease prevention. Methods： Based on the Chinese medicine theory of Yunqi, the descriptive statistics, single-factor correlation analysis and back-propagation artificial neural net-work were conducted using data on five basic meteorological factors and data on incidence of bacillary dysentery in Beijing, China, for the period 1970-2004. Results： The incidence of bacillary dysentery showed significant positive correlation relationship with the precipitation, relative humidity, vapor pressure, and temperature, respectively. The incidence of bacillary dysentery showed a negatively correlated relationship with the wind speed and the change trend of average wind speed. The results of medical-meteorological forecast model showed a relatively high accuracy rate. Conclusions： There is a close relationship between the meteorological factors and the incidence of bacillary dysentery, but the contributions of which to the onset of bacillary dysentery are different to each other.

Seasonal and geographical distribution of bacillary dysentery(shigellosis)and associated climate risk factors in Kon Tum Province in Vietnam from 1999 to 2013

Background:Bacillary dysentery(BD)is an acute bacterial infection of the intestine caused by Shigella spp.,with clinical symptoms ranging from fever to bloody diarrhoea to abdominal cramps to tenesmus.In Vietnam,enteric bacterial pathogens are an important cause of diarrhoea and most cases in children under 5 years of age are due to Shigella strains.The serogroups S.flexneri and S.sonnei are considered to be the most common.The main objective of this study was to,for the first time,assess the seasonal patterns and geographic distribution of BD in Vietnam,and to determine the climate risk factors associated with the incidence of BD in Kon Tum Province,where the highest rate of bacillary dysentery was observed from 1999 to 2013.Methods:The seasonal patterns and geographic distribution of BD was assessed in Vietnam using a seasonaltrend decomposition procedure based on loess.In addition,negative binomial regression models were used to determine the climate risk factors associated with the incidence of BD in Kon Tum Province,from 1999 to 2013.Results:Overall,incidence rates of BD have slightly decreased over time(except for an extremely high incidence in 2012 in the north of Vietnam).The central regions(north/south central coast and central highlands)had relatively high incidence rates,whereas the northwest/east and Red River Delta regions had low incidence rates.Overall,seasonal plots showed a high peak in the mid-rainy reason and a second smaller peak in the early or late rainy season.The incidence rates significantly increased between May and October(“wet season”)across the country.In Kon Tum Province,temperature,humidity,and precipitation were found to be positively associated with the incidence of BD.Conclusions:Our findings provide insights into the seasonal patterns and geographic distribution of BD in Vietnam and its associated climate risk factors in Kon Tum Province.This study may help clinicians and the general public to better understand the timings of outbreaks and therefore equip them with the knowledge to plan better interventions(such as improving water,sanitation,and hygiene conditions)during peak seasons.This can,in turn,prevent or reduce outbreaks and onwards transmission during an outbreak.

Invasive amebiasis and ameboma formation presenting as a rectal mass: An uncommon case of malignant masquerade at a western medical center

A 54-year-old man presented with rectal pain and bleeding secondary to ulcerated,necrotic rectal and cecal masses that resembled colorectal carcinoma upon colonoscopy.These masses were later determined to be benign amebomas caused by invasive Entamoeba histolytica,which regressed completely with medical therapy.In Western countries,the occurrence of invasive protozoan infection with formation of amebomas is very rare and can mistakenly masquerade as a neoplasm.Not surprisingly,there have been very few cases reported of this clinical entity within the United States.Moreover,we report a patient that had an extremely rare occurrence of two synchronous lesions,one involving the rectum and the other situated in the cecum.We review the current literature on the pathogenesis of invasive E.histolytica infection and ameboma formation,as well as management of this rare disease entity at a western medical center.

Growth retardation and severe anemia in children with Trichuris dysenteric syndrome

Objective: To document epidemiologic data, clinical manifestations and treatment in hospitalized children with Trichuris dysenteric syndrome from Honduras during 2010-2012. Methods: Severe trichuriasis cases were identified by routine stool examinations from hospitalized patients(12 years old or less). Relevant epidemiologic, clinical and management data were obtained from review of clinical histories in the ward. Results: Of 122 Trichuris infections diagnosed in 11 528(1.0%) stool samples for all ages, 81(66.4%) were identified in the age group 2-12 years old, 21(25.9%) of which were severe(≥ 100 eggs in 2 mg of feces). Thirteen of those 21 patients collaborated in this study. Patients(9 males and 4 females) were of rural precedence, from large poor or very poor families, chronically parasitized, and between 2 and 12 years old. Dysentery of months duration, severe anemia and stunting were common complaints; clinical characteristics associated with heavy Trichuris infections included egg counts from 232-3 520 eggs per direct smear, hemoglobin from 3.4-10.8 g/d L, eosinophilia up to 43%, severe malnutrition and growth stunting. Orally administered drugs mebendazole, albendazole, metronidazole, nitaxozanide, and piperazine were prescribed at different dosages and duration other than recommended; no cure or egg excretion control was exercised before patient release. A range of 340 to about 10 000 worms were recovered after treatment from 8 patients. Conclusions: This report underlines the need for detailed community studies in trichuriasis morbidity, effective treatment assessment and clinical response in severely malnourished parasitized children.

Clinical Application of Bai Du San

Bai Du San(败毒散Antiphlogistic Powder) is recorded in Key to Therapeutics of Children's Diseases(小儿药证直诀)written by Qian Yi of the Song Dynasty (960-1279).

Treatment of Pediatric Diseases by the Method of Evacuating the Bowels to Remove the Internal Heat

Evacuating the bowels to remove internal heat is one of the major therapeutic principles in treating pediatric diseases. Since the children are incapable of controlling in take of milk or food, the accumulated foodstuffs in the body will impede the spleen and stomach in digestion and transportation. In addition, children are easy to be attacked by exopathogens, because their organs are tender and do not fully develop. Once an exopathogen gets into the interior, it will transform into heat. However, simple measures of eliminating the heat often fail in the treatment of some critical and emergent pediatric cases. We have treated such cases by the method of evacuating bowels to remove the internal heat with miracle effects and would like to share our experience with our colleagues. The following are some examples.

The Plant Cynomorium in Maltese Materia Medica

The search for possible effective local therapeutic agents led to the discovery of a plant that was later known as Fungus Melitensis.This parasitic flowering plant was initially believed to grow only on a small islet off Gozo known variably as General's or Fungus Rock.It is now known to be more widely distributed with a range extending from the Canary Islands to China.First mentioned in 1647 by the Maltese historian Gian Francesco Abela,the plant was later described and illustrated in 1674 by the Palermo botanist Paolo Boccone,while a detailed clinical treatise was prepared in 1689 by the Maltese physician Gio Francesco Bonamico.Based on the principles of the“doctrine of signatures,”the plant was considered useful by virtue of its color in conditions involving bleeding,while on the basis of the phallic appearance,it was considered efficacious for venereal disease.The medicinal properties of the plant became renowned throughout the European continent,increasing the demand for its collection and export.Measures were introduced to limit the collection to authorized individuals while physical access to the islet was made more difficult by cutting away the sloping parts of the islet.The plant lost its medicinal reputation during the early decades of the 19^th century and has now been relegated to the annals of medical history and folklore,though it is still designated a protected species.

Treating Ulcerative Colitis by Activating Blood Circulation to Dissipate Blood Stasis

Ulcerative colitis(UC)is a worldwide refractory bowel disease with unclear pathogenesis.Its lesions can lead to colorectal cancer over time・UC is classified as"diarrhea,""dysentery,"and other categories in traditional Chinese medicine.Its etiology and pathogenesis in traditional Chinese medicine are complex,but it has been found that blood stasis plays an important role in its occurrence and development.Combined with modem research,the relationship between blood stasis and ulcerative colitis is analyzed in this article along with a discussion on the therapeutic effect of activating blood and removing blood stasis on the disease,aiming to provide new ideas for the treatment of UC.

Effects of rhubarb(Rheum ribes L.)syrup on dysenteric diarrhea in children:a randomized,double-blind,placebo-controlled trial

BACKGROUND：Rheum ribes L.is a plant native to China,Iran,Turkey,India,and a few other countries.Antidiarrheal activity is considered to be one of its important properties according to various systems of traditional medicine.An increasing rate of bacterial resistance to antibiotics has led to treatment failure in some cases of shigellosis in children,and underlines a need for safe,efficient and valid options.OBJECTIVE：The purpose of this study is to evaluate the efficacy of R.ribes syrup as a complementary medicine for treatment of shigellosis in children.DESIGN,SETTING,PARTICIPANTS AND INTERVENTIONS：This randomized,doubleblind,placebocontrolled trial started with a group of 150 children aged between 12–72 months with suspected Shigella dysentery.R.ribes syrup or placebo syrup was administered to the intervention and control groups,respectively for 5 days.In addition,the standard antibiotic treatment（ceftriaxone for the first 3 days and cefixime syrup for 2 further days）was administered to both groups.MAIN OUTCOME MEASURES：Body temperature,abdominal pain,need for antipyretics,defecation frequency,stool volume and consistency and microscopic stool examination were recorded as outcome measures.Any observed adverse effects were also recorded.RESULTS：Mean duration of fever and diarrhea in the R.ribes group was significantly lower than that in the placebo group（P=0.016 and 0.001,respectively）.In addition,patients in the R.ribes group showed shorter duration of need for antipyretics and shorter duration of abdominal pain（P=0.012 and 0.001,respectively）.However,there were no significant differences between the two groups regarding the microscopic stool analyses.Furthermore,no adverse effect was reported.CONCLUSION：R.ribes syrup can be recommended as a complementary treatment for children with Shigella dysentery.