Epidemic infectious diarrhea of the newborn infant

Cron, Roland S.; Shutter, H.W.; Lahmann, A.H.

doi:10.1016/s0002-9378(40)91121-8

Cited by 16 publications

(2 citation statements)

References 6 publications

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“…by Felsen and Wolarsky (1942), and in Australia by Draper and Brown (1946); Sakula (1943) blames Ps. pyocyanea for the epidemic he describes, and Cron et al (1940) report an epidemic caused by a haemolytic streptococcus. It seems, then, that many organisms are occasionally responsible for an outbreak of gastro- enteritis, but Fothergill (1944) sums up by saying, 'In spite of such researches, there remain a large number of instances of summer diarrhoea in which the etiology is obscure.…”

Section: Bacterokogymentioning

confidence: 99%

Etiological Aspects of Gastro-Enteritis: Part II

Hinden¹

1948

Archives of Disease in Childhood

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Section: Bacterokogymentioning

confidence: 99%

Etiological Aspects of Gastro-Enteritis: Part II

Hinden¹

1948

Archives of Disease in Childhood

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“…Although several different organisms have been suspected as the cause of neonatal diarrhoea, the aetiology of this syndrome still remains obscure. Among others who have suggested that streptococci may be concerned Cron, Shutter & Lahmann (1940) reported a typical epidemic of neonatal diarrhoea with a case mortality of 82 % in which a haemolytic streptococcus was isolated from the faeces and the throats of all infants examined, but unfortunately the organism was not further identified. Wheeler & Foley (1945) isolated group D streptococci belonging to one serological type from an outbreak of diarrhoea among infants in the nurseries of a maternity hospital.…”

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confidence: 99%

Group D streptococci in the faeces of healthy infants and of infants with neonatal diarrhora

1952

J. Hyg.

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1. The aerobic faecal flora of healthy infants was found to comprise coliform organisms, streptococci and occasionally yeast and spore-bearing organisms. Coliforms and streptococci occurred more frequently in the stools of artificially fed than of breast-fed infants in whom micrococci occurred more frequently.2. Of 191 strains of streptococci isolated from healthy infants' faeces and tested serologically, 8·90% fell into Lancefield's group D. Of the stools examined 93·7% contained group D streptococci.3. A comparison of the group D streptococcal flora of the faeces of healthy infants and of infants associated with outbreaks of neonatal diarrhoea showed that the percentage of these organisms found in the latter was much higher than in healthy infants, the modes being 90–100 and 10–20% respectively.4. The same species and varieties of group D streptococci were found in both healthy and sick infants. Streptococcus faecalis was the predominant species.5. Serological typing of strains of group D streptococci from healthy infants from three maternity hospitals showed that particular types tended to predominate in each maternity unit and to recur over a considerable period of time, in each instance suggesting a reservoir of dissemination to successive infants as they arrived. With artificial feeding an increased diversity of serological types was found.6. Serological types of group D streptococci isolated from sick infants during ten outbreaks of neonatal diarrhoea showed a considèerable variety. Apart from one outbreak (A), where type I was isolated with great frequency, one or two types tended to predominate in each outbreak, but not to any great extent, and not always the same one.7. Types 1, 5, 8 and 9 were the types of group D streptococci most commonly found in both healthy and sick infants, but type 1 occurred in a significantly greater percentage of sick than of healthy infants.8. Tyrosine decarboxylase activities of group D streptococci were usually associated with serological types. The distribution of activities of these organisms was similar in healthy and sick infants.9. The possibility that neonatal diarrhoea may consist of more than one syndrome is discussed, and several of the outbreaks described here are classified into two groups.The author wishes to thank Dr A. T. R. Mattick for his constant interest in this work; Dr P. M. P. Shattock for advice and many valuable suggestions; Dr E. F. Gale for advice and material; Dr E. H. Gillespie, Dr A. M. McFarlan and Dr J. Wright for material and clinical data; Dr P. White and Miss Z. D. Hosking for assistance with the statistical computations; Mr L. G. Newland for technical assistance; and to express her appreciation to the Medical Research Council for a grant which enabled this work to be carried out.

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Isolation of antigenically homogeneous strains of Bact. coli neapolitanum from summer diarrhœa of infants

Bray

1945

J. Pathol.

274

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Epidemic infectious diarrhea of the newborn infant

Cited by 16 publications

References 6 publications

Etiological Aspects of Gastro-Enteritis: Part II

Etiological Aspects of Gastro-Enteritis: Part II

Group D streptococci in the faeces of healthy infants and of infants with neonatal diarrhora

Isolation of antigenically homogeneous strains of Bact. coli neapolitanum from summer diarrhœa of infants

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