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DYSENTERY
MS. SONAM SHARMA
ASST. PROFESSOR
Definition
 Dysentery is a type of gastrointestinal infection that results in
severe diarrhea with the presence of blood and mucus in the
feces. It is primarily caused by bacterial or protozoan
infections and can lead to serious dehydration and other
complications if left untreated.
Types
There are two main types of dysentery:
 Bacillary Dysentery: Caused by bacteria, primarily Shigella
species, and sometimes by Salmonella or Campylobacter.
 Amoebic Dysentery: Caused by the protozoan Entamoeba
histolytica.
Causes
 Bacterial Dysentery:
 Shigellosis: Infection with Shigella bacteria. Common in areas with
poor sanitation.
 Salmonellosis: Infection with Salmonella species, often associated
with contaminated food or water.
 Campylobacteriosis: Infection with Campylobacter jejuni,
commonly from undercooked poultry.
Continue
 Amoebic Dysentery:
 Caused by Entamoeba histolytica, typically through in contaminated
food or water.
Transmission
 Fecal-oral route: Contaminated food or water.
 Person-to-person contact: Particularly in environments with
poor hygiene.
 Contact with infected animals or their environments:
Primarily for bacterial dysentery
Risk Factors
 Poor sanitation and hygiene
 Crowded living conditions
 Contaminated food or water
 Travel to or living in areas with high prevalence of dysentery
 Immunocompromised individuals (e.g., HIV/AIDS,
chemotherapy patients)
Symptoms
 Severe diarrhea with blood and mucus
 Abdominal pain and cramping
 Fever and chills
 Nausea and vomiting
 Tenesmus (a feeling of incomplete defecation)
 Fatigue and weakness
 Dehydration, which can lead to dry mouth, decreased urine output, and dizziness
Diagnosis
 Stool examination: To detect blood, mucus, and the presence of
pathogens (bacteria, amoebic cysts, or trophozoites).
 Stool culture: To identify specific bacterial pathogens.
 Antigen detection tests: For Entamoeba histolytica.
 Polymerase Chain Reaction (PCR): To detect genetic material of
pathogens.
 Serology: Blood tests to identify antibodies against Entamoeba
histolytica.
Treatment
 Bacterial Dysentery:
 Antibiotics: Such as ciprofloxacin, azithromycin, or ceftriaxone,
depending on the specific bacterial cause.
 Rehydration therapy: Oral rehydration salts (ORS) or intravenous
fluids to prevent dehydration.
Continue
 Amoebic Dysentery:
 Antiprotozoal medications: Such as metronidazole or tinidazole,
followed by a luminal agent like paromomycin to eradicate cysts.
 Rehydration therapy: Similar to bacterial dysentery.
Complications
 Severe dehydration and electrolyte imbalance
 Hemolytic uremic syndrome (HUS) with Shigella infections,
leading to kidney failure
 Chronic colitis in amoebic dysentery
 Secondary bacterial infections
 Perforation of the colon (rare but serious)
Prevention
 Improving sanitation: Proper disposal of human waste, safe water
supply.
 Hand hygiene: Regular hand washing with soap and water.
 Food safety: Thorough cooking of food, avoiding raw or undercooked
foods, especially in endemic areas.
 Safe drinking water: Using boiled or properly filtered and treated water.
 Vaccination: Ongoing research, but currently no widely available
vaccines for dysentery-causing pathogens.
Dysentery.pptx

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Dysentery.pptx

  • 2. Definition Dysentery is a type of gastrointestinal infection that results in severe diarrhea with the presence of blood and mucus in the feces. It is primarily caused by bacterial or protozoan infections and can lead to serious dehydration and other complications if left untreated.
  • 3. Types There are two main types of dysentery: Bacillary Dysentery: Caused by bacteria, primarily Shigella species, and sometimes by Salmonella or Campylobacter. Amoebic Dysentery: Caused by the protozoan Entamoeba histolytica.
  • 4. Causes Bacterial Dysentery: Shigellosis: Infection with Shigella bacteria. Common in areas with poor sanitation. Salmonellosis: Infection with Salmonella species, often associated with contaminated food or water. Campylobacteriosis: Infection with Campylobacter jejuni, commonly from undercooked poultry.
  • 5. Continue Amoebic Dysentery: Caused by Entamoeba histolytica, typically through in contaminated food or water.
  • 6. Transmission Fecal-oral route: Contaminated food or water. Person-to-person contact: Particularly in environments with poor hygiene. Contact with infected animals or their environments: Primarily for bacterial dysentery
  • 7. Risk Factors Poor sanitation and hygiene Crowded living conditions Contaminated food or water Travel to or living in areas with high prevalence of dysentery Immunocompromised individuals (e.g., HIV/AIDS, chemotherapy patients)
  • 8. Symptoms Severe diarrhea with blood and mucus Abdominal pain and cramping Fever and chills Nausea and vomiting Tenesmus (a feeling of incomplete defecation) Fatigue and weakness Dehydration, which can lead to dry mouth, decreased urine output, and dizziness
  • 9. Diagnosis Stool examination: To detect blood, mucus, and the presence of pathogens (bacteria, amoebic cysts, or trophozoites). Stool culture: To identify specific bacterial pathogens. Antigen detection tests: For Entamoeba histolytica. Polymerase Chain Reaction (PCR): To detect genetic material of pathogens. Serology: Blood tests to identify antibodies against Entamoeba histolytica.
  • 10. Treatment Bacterial Dysentery: Antibiotics: Such as ciprofloxacin, azithromycin, or ceftriaxone, depending on the specific bacterial cause. Rehydration therapy: Oral rehydration salts (ORS) or intravenous fluids to prevent dehydration.
  • 11. Continue Amoebic Dysentery: Antiprotozoal medications: Such as metronidazole or tinidazole, followed by a luminal agent like paromomycin to eradicate cysts. Rehydration therapy: Similar to bacterial dysentery.
  • 12. Complications Severe dehydration and electrolyte imbalance Hemolytic uremic syndrome (HUS) with Shigella infections, leading to kidney failure Chronic colitis in amoebic dysentery Secondary bacterial infections Perforation of the colon (rare but serious)
  • 13. Prevention Improving sanitation: Proper disposal of human waste, safe water supply. Hand hygiene: Regular hand washing with soap and water. Food safety: Thorough cooking of food, avoiding raw or undercooked foods, especially in endemic areas. Safe drinking water: Using boiled or properly filtered and treated water. Vaccination: Ongoing research, but currently no widely available vaccines for dysentery-causing pathogens.