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Plesiomonas shigelloides--associated diarrhea.

T J Yeh1, W C Tsai

  • 1Department of Surgery, Veterans General Hospital-Kaohsiung, R.O.C.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|May 1, 1991
PubMed
Summary
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Plesiomonas shigelloides can cause mild diarrhea in Taiwan, sometimes incidentally. Routine stool cultures should include an oxidase test, but treatment isn't always necessary for this bacterium.

Area of Science:

  • Microbiology
  • Infectious Diseases

Background:

  • Plesiomonas shigelloides is recognized as a cause of diarrhea in Asia but is infrequently reported in Taiwan.
  • This study investigates the association of P. shigelloides with diarrheal illness in Taiwan.

Observation:

  • Six cases of P. shigelloides in stool cultures were identified between January 1987 and December 1988.
  • Most patients presented with mild or no symptoms of diarrhea.
  • The organism demonstrated resistance to several common antibiotics, including ampicillin and penicillin.

Findings:

  • P. shigelloides can cause mild diarrhea in otherwise healthy individuals.
  • The most effective antibiotics against the isolated strains included cefazolin, ceftazidime, cefuroxime, ciprofloxacin, and trimethoprim/sulfamethoxazole.

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  • The minimal inhibitory concentrations (MICs) were lowest for these specific antibiotics.

    • Implications:

    • An oxidase test should be a routine part of stool specimen cultures for diagnosing diarrheal diseases.
    • P. shigelloides may be an incidental finding and does not always require antimicrobial treatment.
    • This highlights the importance of considering P. shigelloides in the differential diagnosis of diarrhea in Taiwan.