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Aeromonas-associated gastroenteritis.

M Gracey, V Burke, J Robinson

    Lancet (London, England)
    |December 11, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Enterotoxigenic Aeromonas species cause diarrhea in children, particularly during summer. While often mild, some cases present as prolonged or dysentery-like illness.

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    Area of Science:

    • Microbiology
    • Pediatrics
    • Infectious Diseases

    Background:

    • Enterotoxigenic Aeromonas species are recognized pathogens.
    • Diarrheal diseases are a significant concern in pediatric populations.

    Purpose of the Study:

    • To investigate the prevalence and clinical characteristics of enterotoxigenic Aeromonas-associated diarrhea in children.
    • To determine the seasonality of Aeromonas-associated diarrhea in Perth, Western Australia.

    Main Methods:

    • Prospective, year-long study involving 1156 children with gastroenteritis and matched controls.
    • Isolation and identification of enterotoxigenic Aeromonas species from stool samples.
    • Clinical data collection on diarrhea duration, fever, and illness presentation.

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    Main Results:

    • Enterotoxigenic Aeromonas species were isolated from 10.2% of children with diarrhea and 0.6% of controls.
    • Aeromonas-associated diarrhea exhibited a distinct summer peak in Perth.
    • Over one-third of patients experienced diarrhea lasting >2 weeks, and nearly a quarter had dysentery-like illness.

    Conclusions:

    • Enterotoxigenic Aeromonas species are a notable cause of childhood diarrhea in Perth, with a clear seasonal pattern.
    • The clinical spectrum ranges from mild, short-duration watery diarrhea to prolonged illness and dysentery-like symptoms.
    • Some clinical features may resemble ulcerative colitis, warranting further investigation.