Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0017160 (gastroenteritis)
 11,398 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Four hundred children between the ages of 1 month and 14 years with the complaint of diarrhea were studied to assess Campylobacter jejuni isolation rates in childhood acute gastroenteritis in Turkey and to clarify clinical presentations of C. jejuni enteritis. C. jejuni was found to be the second most common isolate with a rate of 8.3%, the first being Shigella strains. The highest isolation rate was in the 6 to 14-year age range at 12%. The most frequent symptoms in patients with C. jejuni enteritis were abdominal pain (51.5%), vomiting (36.4%) and fever (30.3%). Stool examination revealed bloody mucous stool in 51.5% of the patients, and erythrocytes and/or leucocytes were detected in 42.4%. Only 12.1% of the patients with C. jejuni enteritis were hospitalized in this study.
Infection
PMID:Campylobacter jejuni gastroenteritis in Turkish children. 918 83

Gastroenteritis is a major cause of illness in young children worldwide. The magnitude of this problem is underestimated, as many cases may not present for medical treatment and many that do present are not asked to provide a faecal specimen. In this study, laboratory reports of pathogens responsible for gastroenteritis in children under 5 years in England and Wales reported to the PHLS Communicable Disease Surveillance Centre from January 1990 to December 1994 were analysed. These reports were compared with food poisoning notifications and mortality attributable to gastroenteritis collated by the Office of Population Censuses and Surveys in the same age group over the same period. Thirty-nine per cent of the 167630 laboratory faecal identifications were of rotavirus. Reports were commonest in children under 1 year of age during the winter months. Salmonellas and campylobacters were isolated from 16% and 15% of the specimens reported respectively. During the study period salmonella reporting rates rose by 48% in this age group. Improving the microbiological quality of food and raising standards of food hygiene, together with increasing parental awareness of the possibility of food poisoning in young children, will help to reduce morbidity in this age group. The majority of childhood deaths attributable to gastroenteritis were associated with rotavirus infection. The introduction of recently developed vaccines against rotavirus could substantially reduce the level of morbidity in this age group.
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PMID:Gastroenteritis in children under 5 years of age in England and Wales. 918 81

Patients receiving chemotherapy for acute leukemia were prospectively followed up to determine the frequency, nature and outcome, of episodes of infection during a 6 or 12 month period at each of the participating centres. A total of 605 cycles of chemotherapy were surveyed. Of these, 490 cycles were received by patients with acute lymphoblastic leukemia (ALL) and 115 by patients with acute non-lymphoblastic leukemia (ANLL). 241 episodes of infection were recorded during the survey: 179 among ALL patients and 62 among patients of ANLL. Infections were more common during chemotherapy for ANLL than for ALL, occurring in 54% (62/115) and 36% (179/490) of chemotherapeutic cycle respectively. A favorable response to empiric antibacterial agents was seen in 39% (23/59) of episodes in ANLL patients and 77% (134/174) of episodes among ALL patients. Infection presented as fever of unidentified origin in an overwhelming majority (63%) of episodes. Gastroenteritis and pneumonia occurred with a frequency of 11% and 10% while the frequency of all other diagnoses was 3% or less. Overall, E coli and Candida were the most frequently isolated organisms while Staphylococcus aureus and Group A Streptococci were the most frequent isolates from blood and throat swabs, respectively. A high degree of resistance to commonly used antimicrobial agents was seen among the most frequently isolated organisms. About 75% of episodes of infection which did not respond to antibacterial agents responded to empiric systemic antifungal therapy; although fungi were mycologically isolated in only a quarter of these instances. Oropharyngeal candidiasis occurred in association with 3% of chemotherapeutic cycles.
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PMID:Infections in the immunocompromised host: a prospective multicenter survey in patients receiving chemotherapy for acute leukemia. 925 49

This study determines the pattern of reliability of infant mortality reports in Hong Kong. Data are obtained from annual reports of the director of Medical and Health Services during 1956-88 and the director of Health during 1989-90. Deaths were grouped in 5-year age periods during 1956-90. Infant deaths were registered according to cause based on 3 different versions of the International Classification of Disease into 4 major groups: congenital anomalies, conditions originating in the perinatal period, pneumonia, and all other causes. Preventable infant deaths were grouped into 2 categories based on Bourgeois-Pichat's classification: congenital causes and preventable ones. These 2 causes were plotted on a line chart by quinquennial period. Infant mortality rates (IMR) declined from 60.9/1000 in 1956 to 5.9/1000 in 1990. The neonatal mortality rate declined from 24.2 to 3.8/1000 in the same period. Postneonatal mortality rates declined the most from 36.7 to 2.2/1000. The 3 mortality trends were mostly linear. All 3 rates were highly correlated with each other. Major decreases occurred for pneumonia and other. The other group of infectious diseases that included tuberculosis, tetanus, gastroenteritis, and other diarrheal diseases declined the most rapidly by as much as 66 times. Mortality rates by congenital causes increased during the early period and declined slowly during the 1980s, while proportional mortality continued to increase. 84.6% of all infant deaths during 1986-90 were congenital deaths and deaths occurring in the perinatal period. The authors suggest reducing congenital deaths by imposing public health measures, raising the medical knowledge of the public, and improving the use of modern technology. Conditions originating in the perinatal period could be reduced by addressing intrauterine hypoxia, birth asphyxia, and other respiratory conditions.
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PMID:Trends of infant mortality in Hong Kong (1956-90) and evaluation of preventable infant deaths. 925 97

An outbreak of gastroenteritis caused by Norwalk-like virus occurred in two areas of the hospital: area 1, consisting of three adjacent and interconnected wards, with mostly elderly patients; and area 22, an acute ward in a separate building with elderly patients. In area 1, 40 patients and 20 staff were affected; in area 2, 18 patients and 14 staff were affected. Infection control measures were instituted in consultation with the government health authority. These measures did not appear to affect the course of the outbreak, but may have prevented spreads to the other wards.
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PMID:Hospital outbreak of Norwalk-like virus. 932 10

Group A human rotavirus (HRV) is the most common cause of acute gastroenteritis among infants worldwide. 7 G serotypes of group A HRV have thus far been identified by neutralization tests, of which 4, serotypes G1 through G4, have a global distribution. Enzyme immunoassay (EIA) was used to detect the relative frequency and temporal distribution of HRV G serotypes 1-4 among the community of neonates and infants with and without acute diarrhea who attended Cairo University Children's Hospital between August 1992 and October 1993. Fecal samples were collected from 20 neonates and 109 infants under age 1 year with acute diarrhea and from 20 neonates and 30 infants without acute diarrhea. Samples were then tested for the presence of rotavirus antigen using a commercial EIA. Rotavirus was identified in 64 of the 180 neonates and infants; in 15 neonates with diarrhea, 6 neonates without diarrhea, and 43 infants aged 1-12 months. Infection peaked between August and December. Serotypes G1 and G4 predominated in all age groups. Mixed (G1 and G4) and nontypeable specimens represented 16.1% and 38.7% of the total number serotyped, respectively.
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PMID:Serotyping of group A rotaviruses in Egyptian neonates and infants less than 1 year old with acute diarrhea. 935 Jul 78

Wastewater treatment workers (WWTW) are potentially exposed to a variety of infectious agents and toxic materials. We conducted a retrospective epidemiological study to examine the prevalence of infectious diseases and associated symptoms in WWTW. From a possible 242 WWTW, 150 completed a questionnaire that provided data pertaining to the diagnosis of an infectious disease or the prevalence of associated symptoms over a 12-month period. Comparison data were obtained from questionnaires completed by 54 college maintenance and oil refinery workers. The WWTW exhibited a significantly higher prevalence of gastroenteritis, gastrointestinal symptoms (specifically abdominal pain), and headaches. No significant differences were found with regard to respiratory and other symptoms. Employees classified by exposure categories did not exhibit significant differences in the prevalence of symptoms. While significant differences were found with regard to the health status of WWTW and controls, it appears that these risks are confined to symptoms and infectious diseases associated with the gastrointestinal system and are not inclusive of all such symptoms or diseases.
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PMID:Prevalence of infectious diseases and associated symptoms in wastewater treatment workers. 958 49

The build up of gastrointestinal nematode infections was followed in two grazing experiments. Both experiments included four groups of six calves, a permanently housed non-infected control group and three groups which were grazed from May to October. One of these was moved to aftermath in the beginning of July, the second in the beginning of July and August and the third in the beginning of July, August and September. The build up of gastrointestinal nematode infections was followed by performing faecal egg counts, differentiation of faecal larval cultures, pasture larval counts, serum pepsinogen values, serum antibodies against Cooperia oncophora, weight gain and worm counts. In the second experiment four of the principal trial animals of each group were treated with oxfendazole and subsequently challenged with 100,000 larvae of Ostertagia ostertagi to examine development of immunity against O. ostertagi. The faecal egg counts and the worm counts of the sentinels necropsied in July indicated low initial infections in both experiments. Infection levels in experiment 1 remained low in each group until the beginning of September. However, during the last month, moderate to high infections were acquired by the groups which were moved once or twice. In contrast, low to moderate infections were maintained in the group moved three times. In the second experiment moderate C. oncophora burdens were already observed in the sentinels grazed until the beginning of August. Tracers grazing in August-September with the group moved once acquired high O. ostertagi and C. oncophora infections, whereas those grazed with both other groups acquired moderate infections. In October high infections with both species occurred in the groups moved once and twice, whereas low to moderate infections were observed in the group moved three times. The challenge infection demonstrated a reduction of establishment of O. ostertagi of approximately 70% in all three groups on pasture. The results demonstrate that moving calves at monthly intervals to clean pasture can be an effective method for the control of parasitic gastroenteritis. In addition, the data indicate that it is essential that the last move does not occur more than 1 month before the end of the grazing season.
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PMID:The effect of repeated moves to clean pasture on the build up of gastrointestinal nematode infections in calves. 965 93

Campylobacter jejuni and Campylobacter coli are common causes of gastroenteritis in humans. Infection with C. jejuni or C. coli is commonly acquired by eating undercooked chicken. The goal of this study was to develop specific detection assays for C. jejuni and C. coli isolates based on the cadF virulence gene and its product. The cadF gene from C. jejuni and C. coli encodes a 37-kDa outer membrane protein that promotes the binding of these pathogens to intestinal epithelial cells. A fragment of approximately 400 bp was amplified from 38 of 40 (95%) C. jejuni isolates and 5 of 6 (83.3%) C. coli isolates with primers designed to amplify an internal fragment of the cadF gene. PCR was then used to amplify Campylobacter DNA from store-bought chickens. A 400-bp band was amplified from 26 of the 27 chicken carcasses tested by the PCR-based assay. The CadF protein was detected in every C. jejuni and C. coli isolate tested, as judged by immunoblot analysis with a rabbit anti-C. jejuni 37-kDa serum. In addition, methanol-fixed samples of whole-cell C. jejuni and C. coli were detected with the rabbit anti-37-kDa serum by using an indirect-immunofluorescence microscopy assay. These findings indicate that the cadF gene and its product are conserved among C. jejuni and C. coli isolates and that a PCR assay based on the cadF gene may be useful for the detection of Campylobacter organisms in food products.
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PMID:Identification of the enteropathogens Campylobacter jejuni and Campylobacter coli based on the cadF virulence gene and its product. 998 4

Haemolytic-uraemic syndrome (HUS) is a clinical syndrome characterized by acute haemolytic anaemia with fragmented erythocytes, thrombocytopenia and acute renal failure. It is one of the leading causes of acute renal failure in childhood. HUS in children can be divided into the so-called typical, diarrhoea-associated HUS, and atypical HUS, which is not preceded by acute gastroenteritis. Infection with verocytotoxin-producing Escherichia coli is the main cause of diarrhoea-associated HUS. In this chapter the pathogenesis of diarrhoea-associated HUS and the role of verocytotoxin-producing Escherichia coli in this form of HUS is emphasized.
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PMID:The haemolytic-uraemic syndrome in childhood. 1009 22


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