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Dysentery is an epidemic disease and is of particular importance during wartime. Under pathogenesis the author considers climatic, constitutional, hygienic and psychologic factors as forming the basis for the bacterial processes necessary for an epidemic. The clinical course is described in detail and illustrated by many case reports and graphic descriptions of laboratory findings. Diarrhea, sometimes followed by constipation, peritonitis without perforation, general symptoms, circulatory symptoms, fever, water and mineral metabolism, cutaneous and central nervous system symptoms and emotional behavior are discussed. Duration, complications and prognosis are taken up. Little space is allotted to bacteriologic and epidemiologic considerations. Immunization against dysentery is considered of questionable value and of considerable danger, causing occasionally severe attacks of the disease, and, if done after the epidemic has started, it may provoke severe illness. The author's own experience indicates that immunized patients have less severe attacks, but his results are, according to his own
Die Bazillenruhr.. AMA Am J Dis Child. 1951;81(3):464. doi:10.1001/archpedi.1951.02040030474016