Fulminating encephalopathy and Shigella flexneri infection.

Author:

Hall S M

Publisher

BMJ

Subject

Pediatrics, Perinatology and Child Health

Reference4 articles.

1. Fulminating encephalopathy associated with Shigella flexneri infection;Sandyk, R.; Brennan, M.J.W.;Arch Dis Child,1983

2. Reye's Syndrome in Japan;Yamashita, F.; Yamamoto, M.; Okada, S.; Yoshida, I.; Yoshino, M.,1979

3. I read the paper by Clarson et al.1 from the Sorrento Hospital in Birmingham with both interest and a sense of disappointment. I agree entirely with the authors' conclusions that (a) no such entity as an 'Asian' standard exists and (b) the details of the subethnic structure of an immigrant population need careful assessment. I was dismayed however to find that their 1978 study lumped 'Pakistani' and 'Bangladeshi' mothers together and compared them to 'Indian' mothers. Political considerations aside, this is not acceptable since the ethnic differences between 'Pakistani' mothers and 'Bangladeshi' mothers are significant;Sir

4. The size and complexity of the Indian subcontinent needs to be emphasized, and a simple reference to an atlas would indicate that the Indian subcontinent should be compared to the whole of western Europe in terms of both geography and population. Religious differences and eating taboos also complicate the picture. Further-Dr Sandyk and Dr Brennan comment: The dysenteric encephalopathy described in our 3 cases had been acquired simultaneously in different areas of Johannesburg. All subjects were white and all were admitted to hospital in the same week. Although the type 2a strain appears to be uncommon in the area of Johannesburg, a similar dysenteric encephalopathy was observed in 1976 in Johannesburg. We were, however, unable to find any documentation of these cases

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1. Characteristics of Children With Shigella Encephalopathy;Pediatric Infectious Disease Journal;2010-05

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