The importance of recognizing a form of bacillary dysentery the symptoms of which are mistaken for those of acute appendicitis has been suggested in two general studies1 of recent outbreaks of Sonne-Duval and atypical Flexner dysentery. The purpose of the present report is to point out the clinical, bacteriologic, serologic and pathologic features distinguishing bacillary dysentery from acute appendicitis.
The group studied in the one year period between December 1933 and December 1934 included approximately 300 cases of Sonne-Duval and atypical Flexner bacillary dysentery. These cases occurred chiefly within the metropolitan area (New York City, Jersey City and their environs). Some occurred on three transatlantic liners, the disease having apparently started on board ship. The incidence and widespread nature of bacillary dysentery can perhaps be surmised from the observation made by my associates and me that many cases are unrecognized by the physician because of the mild and transitory
FELSEN J. APPENDICULAR FORM OF BACILLARY DYSENTERY: WITH NOTES ON MESENTERIC ADENITIS AND INFLAMMATION OF THE DISTAL PORTION OF THE ILEUM. Am J Dis Child. 1935;50(3):661–672. doi:10.1001/archpedi.1935.01970090091009
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