Introduction of Amoebic dysentery and Bacillary dysentery
Table of Contents
Amoebic dysentery or amoebiasis is an intestinal infection caused by a unicellular (protozoan) parasite, Entamoeba histolytica whereas bacillary dysentery or shigellosis is a bacterial disease caused by a group of non-motile bacteria called Shigella species.
Differences between Amoebic dysentery and Bacillary dysentery
The differences between Amoebic dysentery and Bacillary dysentery are as follows-
Features | Amoebic dysentery | Bacillary dysentery |
Epidemiology | Endemic | Epidemic |
Symptomatology | Localized abdominal tenderness | Generalized abdominal tenderness |
Pathology | Flask-shaped ulcer with the involvement of all coats of the intestine. | Only superficial inflammation with diffuse necrosis of mucus membrane. |
Complication | Severe hemorrage and peritonitis. | Polyarthritis may occur. |
Macroscopic | ||
Number | 6-8 motions per a day | >10 motions a day |
Amount | Relatively copious | Small |
Odor | Offensive/fishy odor | Odorless |
Color | Dark red (due to altered blood) | Bright Red ( because of fresh blood) |
Nature | Blood and mucus mixed with feces | Blood and mucus, no feces |
Reaction | Acid | Alkaline |
Consistency | Fluid mucus not adherent to the container | Viscid mucus adherent to the bottom of the container |
RBCs | In clumps, reddish-yellow in color | Discrete or in rouleaux, bright red in color |
Pus cells | Scanty | Numerous |
Macrophage | Very few | Large and numerous, many of them contain RBC and thus mistaken of Entamoeba histolytica |
Eosinophils | Present | Scare |
Pyknotic bodies | Very common | Nil |
Ghost Cells | Nil | Numerous |
Parasite | Trophozoites of Entamoeba histolytica | Nil |
Bacteria | Many Motile bacteria | Non-motile (Since Shigella species are non-motile) |
Charcot-Leyden (CL) Crystals | Present | Nil |
Cultivation | ||
Growth on MacConkey medium (MAC) | Intestinal flora may grow. | Pure culture of non-lactose fermenter colonies of Shigella may be observed. |
Keynotes
- Other bacteria like Vibrio parahaemolyticus, Enteroinvasive Escherichia coli (EIEC), Enterohemorrhagic Escherichia coli (EHEC), Campylobacter species, and Salmonella species may also cause dysentery.
- Charcot-Leyden (CL) crystals are the indicators of parastic diseases and they are hexagonal bipyramidal structures, formed from the breakdown of eosinophils. They may be seen in the stool or sputum of patients with parasitic diseases as showin in Amoebic dysentery and Bacillary dysentery Footages.
- Pyknotic bodies are the nuclear remains of tissue cells and white blood cells, they may present in the stools of persons suffering from amoebiasis.
- Ghost cells are swollen/enlarged epithelial cells with only cytoplasmic outlines but without a nucleus as showin in ‘Amoebic dysentery and Bacillary dysentery Footages’.
Amoebic dysentery and Bacillary dysentery Footages
RBCs in clumps of Amoebic dysentery feces in wet mount microscopy
Trophozoites of Entamoeba histolytica ,numerous RBCs and occasional pus cells in wet mount microscopy of Amoebic dysentery stool
Trophozoites of Entamoeba histolytica in LPCB preparation of feces microscopy
Entamoeba histolytica Cyst in saline wet mount Stool Microscopy at 1200X
Cyst of Entamoeba histolytica in iodine wet mount Stool Microscopy
Stool sample of Bacillary dysentery demonstration
Bacillary dysentery stool in wet mount microscopy showing numerous pus cells and RBCs
Discrete and in rouleaux RBCS of Bacillary dysentery demonstration
Packed Pus cells and numerous RBCs and ghost cells in stool of Bacillary dysentery
Numerous Pus cells and ghost cells in Bacillary dysentery
Charcot- Leyden (CL) crystal in Stool Microscopy
CL Crystals in pleural fluid Microscopy
Further Readings
- https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/enteroinvasive-escherichia-coli
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC121379/
- https://universe84a.com/entamoeba-histolytica-introduction/
- https://www.healthline.com/health/digestive-health/dysentery
- https://universe84a.com/shigella-species/
- https://www.britannica.com/science/dysentery
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1. Why should members of the PTC fill out vote justification forms explaining their votes?
Vote justification forms provide transparency in decision-making. Members articulate their reasoning, fostering a culture of openness and ensuring that decisions are well-founded and understood by the academic community.
2. How can absentee ballots be cast?
To accommodate absentee voting, PTCs may implement secure electronic methods or designated proxy voters. This ensures that faculty members who cannot physically attend meetings can still contribute to decision-making processes.
3. How will additional members of PTCs be elected in departments with fewer than four tenured faculty members?
In smaller departments, creative solutions like rotating roles or involving faculty from related disciplines can be explored. Flexibility in election procedures ensures representation even in departments with fewer tenured faculty members.
4. Can a faculty member on OCSA or FML serve on a PTC?
Faculty members involved in other committees like the Organization of Committee on Student Affairs (OCSA) or Family and Medical Leave (FML) can serve on a PTC, but potential conflicts of interest should be carefully considered and managed.
5. Can an abstention vote be cast at a PTC meeting?
Yes, PTC members have the option to abstain from voting if they feel unable to take a stance on a particular matter. This allows for ethical decision-making and prevents uninformed voting.
6. What constitutes a positive or negative vote in PTCs?
A positive vote typically indicates approval or agreement, while a negative vote signifies disapproval or disagreement. Clear definitions and guidelines within each PTC help members interpret and cast their votes accurately.
7. What constitutes a quorum in a PTC?
A quorum, the minimum number of members required for a valid meeting, is essential for decision-making. Specific rules about quorum size are usually outlined in the PTC’s governing documents.
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