| Differential Counts of Neutrophjles in the Diagnosis of Bacillary Dysentery |
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Hei Young Kim, Woo Gill Liegh, Won Chull Kim, Dong Shik Chin |
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Department of Pediatrics, Yonsei University College of Medicine Seoul, Korea |
| 세균성 이질 진단과 중성 백혈구 수와의 관계 |
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김혜영, 이우길, 김원철, 진동식 |
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연세대학교 의과대학 소아과학교실 |
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| Abstract |
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Total 553 cases of acute diarrhea who were admitted to pediatric department of Severance Hospital from Jan. 1967 to Dec. 1971, were subjected in this study. Among these, 116 dysenteric cases (21%) were analysed as followings:
1)The incidence of dysentery was highest from 6 months after birth to 2 yrs., and relatively rare below the 6 months of age. 2) The character of stool was mucobloody and the frequency was more than 10 times in 50% of
cases or more. 3) Neurologic symptoms were seen more frequently in dysentery than other kinds of diarrhea,
which were seen in more than 1/3 cases of shigellosis. 4)Leukocyte count was variable from marked leukopenia to leukocytosis. But in shigellosis, in the initial period, the stab form neutropniles were more numerous than segmented forms, regardless of the counts of total neutrophiles. This would be a great help in early diagnosis of shigellosis. 5)The most common pathogenic group of bacillary dysentery was Shigella flexneri.
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