DYSENTERY

FACILITATOR: DR. HAPPYPHANIA M.

PROF F. FURIA
 OUTLINE
• Definition
• Etiology
• Pathophysiology
• Clinical manifestations
• Investigations
• Treatment
• Complications
• Follow up
• Prevention
 DEFINITION
Dysentery is the diarrhea
presenting with loose
frequent stools containing
visible blood.

An inflammation of the
intestines accompanied by
bloody diarrhea with
abdominal cramps, tenesmus
and passage of mucus in the
stool.
 AETIOLOGY
BACTERIA
• Shigella spp
• Campylobacter
• Salmonella
• Yersinia enterocolitica

VIRUS
• STEC

PROTOZOA
• Entamoeba histolytica
 EPIDEMIOLOGY
• Shigellosis worlwide 164,000 deaths annually
• Most common etiology of dysentry.
• 2nd most causes of AWD
• More likely to happen:
Poor sanitation
Poor sewage disposal
Inadequate water supplies
PATHOPHYSIOLOGY
 CLINICAL FEATURES
• Blood in stools

• Abdominal pain

• Tenesmus

• Fever

• Dehydration
 INVESTIGATIONS
• Stool culture and sensitivity

• FBP

• Serum Electrolytes

• Creatinine, BUN
 TREATMENT
• Assess, classify and
treat dehydration

• Zinc supplementation

• Antibiotics

• Treat complications
 COMPLICATIONS
• Electrolyte imbalance

• Hemolytic uremic
syndrome

• Toxic megacolon

• Rectal prolapse

• Intestinal perforation
 FOLLOW UP
Check for signs of improvement such as
• Less blood in stools

• Lower fever

• Improved appetite
PREVENTION
THANK YOU