Clinical Observations on Kwashiorkor in Calcutta

Jejunal microflora in malnourished Gambian children.

“…It is during the wet season that diarrhoea, together with other infections, is particularly severe and chronic. Chronic recurrent diarrhoea is often seen in children with PCM (Mukherjee and Jelliffe, 1955) and may be essentially limited to such children (Wittman and Hansen, 1965 diarrhoea but common pathogens were not consistently isolated from their faeces, though salmonellae, shigellae, pathogenic Esch. coli, and parasites, particularly Giardia and Strongyloides, were occasionally found.…”

“…It is during the wet season that diarrhoea, together with other infections, is particularly severe and chronic. Chronic recurrent diarrhoea is often seen in children with PCM (Mukherjee and Jelliffe, 1955) and may be essentially limited to such children (Wittman and Hansen, 1965). Children with PCM studied here during the 1971 and 1972 seasons with particular reference to their immune status and function (results to be published) had chronic Received 10 June 1974. diarrhoea but common pathogens were not consistently isolated from their faeces, though salmonellae, shigellae, pathogenic Esch.…”

Liver enzymes in human undernutrition

“…It therefore appears that there was on an average a 70 yo reduction of the cholinesterase content of the liver at the height of malnutrition. It is of interest that the serum cholinesterase was reduced to a slight extent (see also Mukherjee & Chaudhuri, 1957). It is, therefore, possible that the serum cholinesterase is of hepatic origin.…”

Kwashiorkor

“…In pellagra, in the early stage of the rash, the skin is red, swollen, and irritated and the rash has a well-marked edge. 5. In the late stages of kwashiorkor the skin is dark, soft, and crumpled.…”