| epidemic shigella dysenteriae type 1 in natal. | since its first isolation in south africa in 1994, shigella dysenteriae type 1 has now spread to cause an epidemic outbreak in natal kwazulu, resulting in a steep rise in admissions for dysentery and the haemolytic uraemic syndrome in children. we report on the epidemic as it has evolved so far. a large outbreak is to be expected in south africa in view of large scale poverty, lack of housing, and adequate water and sanitation, unless urgent public health measures are taken. | 1995 | 8531259 |
| nalidixic acid-resistant shigella dysenteriae type i in kwazulu-natal. | | 1996 | 8685796 |
| epidemic shigella dysentery in children in northern kwazulu-natal. | to describe the epidemiology, clinical features, management and outcome of children with shigella dysenteriae type i infection admitted to a rural district hospital. | 1997 | 9063314 |
| an outbreak of shiga bacillus dysentery in kwazulu/natal, south africa. | an outbreak of shiga bacillus (shigella dysenteriae type 1) infection has been detected for the first time in south africa. forty-eight cases of this epidemic that presented to a referral hospital were clinically evaluated. patients presented with dysentery from all age groups and 16 (33%) were admitted to hospital. there were two geographical regions where 32 (67%) of the patients resided. the isolates were demonstrated to be pathogenic by in vitro testing for invasion and toxin production, and ... | 1997 | 9138132 |
| post-dysenteric hemolytic uremic syndrome in children during an epidemic of shigella dysentery in kwazulu/natal. | we report 81 of 107 cases of hemolytic uremic syndrome (hus), admitted between july 1994 and february 1996, following an outbreak of shigella dysenteriae type 1 dysentery in kwazulu/natal. all patients, excluding 1, were black with a mean age of 38 months (range 1-121); 50 (61.7%) were males. the mean duration of dysentery was 11.3 days (range 1-41) and hus 15 days (range 1-91). most patients had acute oliguric renal failure (90.1%), 42 (51.6%) required peritoneal dialysis. complications include ... | 1997 | 9323280 |
| laboratory surveillance of shigella dysenteriae type 1 in kwazulu-natal. | to collect data on the antimicrobial susceptibility of shigella dysenteriae type 1 in kwazulu-natal, including the testing of newer therapeutic agents, and to evaluate the ability of laboratories to participate in a provincial surveillance programme. | 1999 | 10070415 |
| re-evaluating criteria for peritoneal dialysis in "classical" (d+) hemolytic uremic syndrome. | indications for peritoneal dialysis in children with post-dysenteric hemolytic uremic syndrome (d+ hus) have not been thoroughly evaluated. although early institution of dialysis may reduce mortality, the procedure has attendant complications. | 2001 | 11269677 |