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Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study

A M Khan1, A S G Faruque, M S Hossain

  • 1Clinical Sciences Division, ICDDR, B: Centre for Health and Population Research, Dhaka, Bangladesh. miraj@icddrb.org

Journal of Tropical Pediatrics
|November 13, 2004
PubMed

Insights

Plesiomonas shigelloides causes diarrhea in young children, primarily presenting as watery stools and vomiting. Most cases resolve with oral rehydration salts (ORS), highlighting the importance of recognizing this pathogen in pediatric gastroenteritis.

Area of Science:

  • Pediatric Infectious Diseases
  • Microbiology
  • Clinical Epidemiology

Background:

  • Plesiomonas shigelloides is an emerging cause of bacterial gastroenteritis.
  • Limited data exists on the clinical and epidemiological characteristics of P. shigelloides-associated diarrhea in children.

Purpose of the Study:

  • To describe the clinical presentation and epidemiological features of Plesiomonas shigelloides-associated diarrhea in hospitalized children.
  • To inform physicians about the management strategies for this condition.

Main Methods:

  • Retrospective review of hospital-based surveillance data.
  • Analysis of medical records for 38 children with P. shigelloides as the sole identified pathogen.

Main Results:

  • The majority of affected children (76%) were under two years old, and 74% were male.
  • Watery diarrhea (84%) and vomiting (71%) were common; significant dehydration occurred in 23% of cases.
  • Oral rehydration salts (ORS) were effective in 87% of children, with only 13% requiring intravenous fluids.

Conclusions:

  • Plesiomonas shigelloides infections in children often present with watery diarrhea and vomiting, predominantly in infants and young males.
  • The pathogen was detected year-round.
  • Effective management relies on ORS, underscoring the need for physician awareness regarding this pediatric diarrheal illness.

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