Studies on Bacillary Dysentery, Especially the Sigmoidoscopic Findings

Abstract

Two hundred sixty seven patients of bacillary dysentery were clinically observed and repeatedly examined by the sigmoidoscopy. In addition to the sigmoidoscopic obsevations, mucous membranes taken by biopsy of rectum were microscopically investigated.
1) Sigmoidoscopic findings of bacillary dyseetery were classified into two groups: Early, acute findings and convalescent findings.
2) Compared with improvement of clinical symptoms, the healing process of sigmoidoscopic findings was delayed considerably.
3) According to the improvement of sigmoidoscopic findings, all cases were classified into two groups:
a) group of rapid healing
b) group of prolonged healing
4) Factors, which have influences on the improvement of sigmoidoscopic findings were investigated.
a) No correlations between the healing process and the sex of patient or type of Shigella were recognized.
b) In patients of over 50 years of age, the healing process of sigmoidoscopic- indings was mostly prolonged.
c) The healing tendency of sigmoidoscopic findings in cases treated without: antibiotics were not as favorable as in those treated with antibiotics.
5) The improvement of sigmoidoscopic findings, “rapid healing” or “prolonge healing”, was reflected in the healing process of clinical symptoms as “complete healing” or “incomplete”.
6) Histologically, biopsy materials indicated findings, which were never found in autopsy materials.