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Etiologic Study of Diarrheal Disease in Vietnam^*

David W. Forman, Myron J. Tong, K. Darwin Murrell AND John H. Cross

Bacteriological and parasitological studies were performed on stool specimens from 987 U. S. Marines admitted to a hospital because of diarrhea; more than one-half had recently returned from field operations. Infection with Shigella spp. was proved in 290 (29.5%) of the cases. Hookworm infection was found in 45 cases (4.5%), Strongyloides stercoralis in 5 (0.4%), Giardia lamblia in 26 (2.6%), and Entamoeba histolytica in 36 (3.6%). No specific pathogens were found in the stools of 555 patients (56.5%). Other diseases in which diarrhea was a main presenting symptom included Plasmodium falciparum malaria, tropical sprue, hepatitis, and heat exhaustion. Additional studies are needed to identify the many undiagnosed cases of diarrhea.

Accepted for publication February 12, 1971.

^* This study was supported by the Bureau of Medicine and Surgery, Department of the Navy, Work Unit MR005.05.01-0004B. The opinions or assertions contained herein are those of the authors and are not to be construed as official or as reflecting the views of the Navy Department or the Naval Service at large.

Requests for reprints should be addressed to Publications Editor, NAMRU-2, Box 14, APO San Francisco, California 96263.

Present address: Metropolitan Pathology Laboratory Inc., Teaneck, New Jersey 07666.

Present address: Los Angeles County Hospital/USC Medical Center, Los Angeles, Calif. 90033.

Present address: University of Chicago, Department of Microbiology, Chicago, Ill. 60637.

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