Yushchuk, N.D., Rozenblyum, A.Yu., Parkhomenko, Yu.G., Efremova, L.V., Tishkevich, O.A., Karmanov, M.I., Kanshina, N.N., Burov, V.P., Bergman, G.A.

Specific clinical and morphological features of shigellosis Flexneri in patients with aggravated premorbid state

State Medical Stomatological University, Sechenov Medical Academy, Moscow, Russia

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.
Zh. Mikrobiol. (Moscow), 2002, No. 2, P. 77—79