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Studies of Diarrheal Disease in Central America^*

XI. Intestinal Bacterial Flora in Malnourished Children with Shigellosis

David C. Dale AND Leonardo J. Mata

The numbers of Shigella in feces of children with clinical shigellosis (Sh. dysenteriae, Sh. flexneri, Sh. boydii, and Sh. sonnei) under both home and hospital conditions ranged from 10⁵ to 10⁸ per gram of wet feces. Children with Sh. sonnei dysentery had a longer convalescence, and feces consistently had greater numbers of Shigella than did patients with Sh. flexneri. Symptomless carriers excreted smaller numbers of Shigella, usually 10².

Among fecal bacteria associated with shigellosis, streptococci, lactobacilli, and bacteroids were generally most numerous. Candida and staphylococci ordinarily were few. The numbers of coliforms, enterococci, and Shigella fluctuated according to no fixed pattern. Coliform organisms were usually in inverse proportion to numbers of Shigella. Lactobacilli and streptococci were relatively rare during acute clinical diarrhea, especially when blood and mucus were present in stools.

^* This investigation, supported in part by the United States Public Health Service, NIH Research Grant AI-05405, is INCAP Publication I-422.

Present address: Massachusetts General Hospital, Boston, Massachusetts.

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