Shigellosis in Kentucky, 1986 through 1989.

Abstract:

:A marked increase in the number of cases of shigellosis was reported in Kentucky in 1988. To examine reasons for this increase, we reviewed the 389 cases of shigellosis reported from 1986 through 1989. Ninety-three percent (285/305) of cases due to known species were due to Shigella sonnei. Sixty-two percent (243/389) of cases occurred in children less than 10 years of age. The annual incidence for blacks (6.8 cases per 100,000) was nearly four times that for whites (1.8 per 100,000). The increased number of cases in 1988 was due to outbreaks in five areas of the state, which accounted for 85% (200/234) of the cases. Three of the five outbreaks involved day-care centers. The primary mode of transmission appeared to be person-to-person; there was no evidence of a common source of infection from food or water. To prevent future outbreaks, cases of shigellosis need to be reported promptly to ensure appropriate investigation and control by local health departments.

journal_name

South Med J

journal_title

Southern medical journal

authors

Pelletier AR,Finger RF,Sosin DM

doi

10.1097/00007611-199107000-00002

subject

Has Abstract

pub_date

1991-07-01 00:00:00

pages

818-21

issue

7

eissn

0038-4348

issn

1541-8243

journal_volume

84

pub_type

杂志文章
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    doi:10.1097/00007611-199310000-00020

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    journal_title:Southern medical journal

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    authors: Sauder RA,Rafferty JF,Bilenki AL,Berkowitz ID

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  • Clonorchiasis: an update.

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  • Report of the International Society for Clinical Densitometry 2007 Adult Position Development Conference and Official Positions.

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    更新日期:1983-02-01 00:00:00

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  • Age-Related Macular Degeneration and Coronary Artery Disease in a VA Population.

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    doi:10.14423/SMJ.0000000000000329

    authors: Thomas J,Mohammad S,Charnigo R,Baffi J,Abdel-Latif A,Ziada KM

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  • Disseminated Strongyloides stercoralis: a fatal case eluding diagnosis.

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  • Malignant fibrous histiocytoma arising from the superficial femoral artery.

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    pub_type: 杂志文章

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    authors: Feldtman RW,Cox CS Jr,Nirgiotis J,Guarjardo M

    更新日期:1992-02-01 00:00:00

  • Acute buried bumper syndrome.

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    journal_title:Southern medical journal

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    更新日期:2010-12-01 00:00:00

  • Life stress and psychiatric clinic referral.

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    doi:10.14423/SMJ.0000000000001121

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    abstract::Hepatobiliary tuberculosis (HTB) is uncommon and can be difficult to diagnose. We present our experience with HTB (over a 10-year period). Fourteen patients were identified from a total of 1888 cases of tuberculosis (TB) infection during this period. Five patients had isolated organ involvement [hepatic (n=3) and bili...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e318164ddbb

    authors: Chong VH

    更新日期:2008-04-01 00:00:00

  • Hyponatremia in the syndrome of inappropriate secretion of antidiuretic hormone: rapid correction with osmotic agents.

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    pub_type: 杂志文章

    doi:10.1097/00007611-198503000-00028

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  • Sickle Cell Disease in Pregnancy.

    abstract::Sickle cell disease (SCD) is the most common hereditary disorder and affects 30 million people worldwide. Advances in science have improved overall survival in patients with SCD and as such, more patients are reaching reproductive age and are becoming pregnant. SCD in pregnancy leads to multiple complications that put...

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    pub_type: 杂志文章,评审

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    abstract::A case of SLE with the unique association of gastric polyps and vasculitis is reported. Gastrointestinal symptoms, surgical indications, and complications of SLE with gastrointestinal involvement are reviewed. The unusual patterns of ileus or lupus peritonitis secondary to mesenteric vasculitis must be differentiated ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

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    更新日期:1976-04-01 00:00:00

  • Intestinal antisepsis.

    abstract::The role of antibiotics in large bowel surgery was established by experimental studies indicating that antibiotics could protect a colonic anastomosis subjected to unusual stress. A number of different agents were studied to patients to determine which ones significantly altered the bacterial flora of the colon. Clini...

    journal_title:Southern medical journal

    pub_type: 杂志文章

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    authors: Cohn I Jr

    更新日期:1982-12-01 00:00:00

  • Haemophilus influenzae endocarditis.

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    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198506000-00041

    authors: Blair TP,Baker WP

    更新日期:1985-06-01 00:00:00

  • Angioedema associated with angiotensin II receptor antagonist losartan.

    abstract::Angioedema has not been associated with losartan therapy in hemodialysis patients, as it has been with angiotensin converting enzyme (ACE) inhibitors. We report the case of a hemodialysis patient who previously had angioedema after therapy with ACE inhibitors and again had angioedema while taking losartan. We suggest ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199705000-00020

    authors: Sharma PK,Yium JJ

    更新日期:1997-05-01 00:00:00

  • Cerebrospinal rhinorrhea: diagnosis and management.

    abstract::The role of the otolaryngologist in the diagnosis and management of cerebrospinal fluid rhinorrhea is discussed. One hundred eight cases of cerebrospinal rhinorrhea were studied with emphasis on cause, localization, and treatment. Extracranial approaches produce minimal morbidity and should be considered as possible t...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197512000-00015

    authors: Hudson WR,Hughes LA

    更新日期:1975-12-01 00:00:00

  • Routine pregnancy testing: is it a standard of care?

    abstract::Increasingly the courts are expanding the scope of viable causes of action and the nature of damages, as well as the spectrum of plaintiffs to include the unborn. Generally the courts accept medically established standards of care, but on occasion courts create the standard of care. Predicated on this type of scenario...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Hirsh HL

    更新日期:1980-10-01 00:00:00

  • Prediction of Functional Limitations in Balance after Tests of Tandem Walking and Standing Balance in Older Adults.

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    更新日期:2020-09-01 00:00:00