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Bacillary dysentery articles
Historical records dysentery, disease name. See "Economic Health side." Song before intestinal bleach, Chibai Waugh,
Amoebic dysentery 1 hot profits, dysentery disease, diarrhea (or "dysentery"), the stagnation under other names. "Medical Bian" Volume: "dysentery caused by the heat, humidity or food items, or feel the heat of the gas accumulation in the stomach, then the evil is to stop, run the spleen and stomach disorders, so eating more stagnation, into defeat Cloud , adhesive into the stomach, run the machine, the benefits of the ne


gative, qi for the fire, and suffered heat of the gas mixture is evil, ache stab attack, . "times of abdominal pain and frequent diarrhea, lower interest Chibai sticky and cold, tenesmus embolism. Later more and more clear that the diarrhea by eating unclean, feel Immunotoxin of the gas, the gut produce toxins, conduction disorders caused by, respectively, when Bianqi actual situation of governance. And dysentery are frozen under the Chibai stick, "Principles of Medical dysentery door" that: "the red of blood sub-injured, are the small intestine; white person injured in gas separation, belong to the large intestine." "Ming Medical refers to the palm": "hot and humid plot, dried in the red blood sub, sub-dry white in the air. "Clinically, evidence should be heat dampness, cooling blood detoxification, consumer product Daozhi the law. Xie Sheng virtual who are advised to Quxie righting, used along with Blood Circulation breathing, the so-called "self-healing xue then it pus, the latter re-transfer gas from the addition," when the Bu Zhong Yi Qi deficiency, yang Guse. Diarrhea can be divided into multiple, according to different causes, symptoms (including severity and duration of disease conditions, and diarrhea of the color), generally have summer diarrhea, dysentery heat, wind dysentery, epidemic dysentery, gas dysentery, toxic dysentery, heat dysentery, cold dysentery, Jinkou dysentery, Jiu Li, rest dysentery, odd constant diarrhea, dysentery, white diarrhea, red white diarrhea, dysentery and other colored, traditional Chinese medicine said the dysentery, both equivalent to modern medicine, dysentery, amoebic dysentery but also, ulcerative colitis, allergic colitis and other intestinal infections, poisoning caused by transmission of intestinal absorption dysfunction disease. Clinical manifestations of dysentery clinical manifestations were abdominal pain, diarrhea, tenesmus, discharge pus and blood will, with symptoms of systemic poisoning. Infant response to infection is not strong, moderate onset, stool samples initially mostly indigestion, loose stools, persistent and easy course. Children over 3 years acute onset of fever, diarrhea, abdominal pain as the main symptoms, convulsions, vomiting. Shigella flexneri bacterial infection or serious condition, prone to toxic dysentery, common in children aged 3 to 7. Artificial feeding children weak constitutions, prone to complications. Basic classification of acute dysentery (1) clinical manifestations of acute dysentery divided by 4, the ordinary type, light, heavy and toxic type. common type: acute onset, body temperature of 39 -40 , accompanied by nausea, vomiting, abdominal pain, diarrhea. 10-20 stools a day, first as a loose stools or watery diarrhea was, after it was pus and blood, the left lower quadrant tenderness with hyperthyroidism bowel sounds, tenesmus obvious. If untreated, can be recovered within a few days. light: the more common type of systemic symptoms and bowel symptoms sera light, tenesmus and other obvious symptoms, often misdiagnosed as enteritis or colitis. Heavy: high fever, vomiting, abdominal pain, tenesmus clear discharge pus and blood will be a day up to ten times, and serious symptoms of dehydration and acidosis. poisoning type: this type more common in children aged 3-7. Rapid onset, body temperature quickly rose to 40 0-41 , accompanied by headache, chills, convulsions or circulatory disorders and other symptoms. The disease symptoms of respiratory tract infection often supreme. Gastrointestinal symptoms are not severe, and in the event of more than 6-12 hours after the occurrence of seizures. Multi showed toxic to peripheral circulatory failure, shock-oriented type; to increase cerebral edema and intracranial pressure and other symptoms in cerebral brain, respiratory and circulatory failure in order to exist mainly mixed. a. Shock: Early children looking pale, perioral cyanosis, cold extremities, that nails pale, heart rate and breathing faster. With the progression of the disease, pale gray, that nails, lips cyanosis, skin blur, heart rate of 160 times per minute, low heart sound blunt, weak pulse, and confusion. With advanced heart failure, shock lung, DIC (disseminated intravascular coagulation) and so on. b. brain: more common in preschool children, suckling, and school-age children is relatively rare. Since the beginning of conscious patients, sudden convulsions, twitching limbs, eyes on the turn. In severe cases, repeatedly. Awareness of each seizures started yet clear, and then gradually malaise, irritability or lethargy, until he lost consciousness. Children looking pale, and looking the more gray the higher temperature, more severe neurological symptoms. Cerebral edema, encephalopathy can cause respiratory failure, the treatment more difficult. If you see children looking so gray hair, heart rate is relatively moderate and recurrent seizures are symptoms of increased intracranial pressure, to actively prevent the occurrence of respiratory failure. Bacillary dysentery with cerebral edema, the retinal changes are not obvious, can not be used to determine whether the brain edema. C. Mixed type: the performance of brain-and shock-type exist, the condition is more serious. Persistent bacillary dysentery (2} persistent disease course of bacillary dysentery 2 weeks -2 months in between, the Department of delayed healing of acute dysentery it. Patients often do not have high fever, abdominal pain or symptoms of poisoning, only with abdominal discomfort, loss of appetite is not Jia, stool frequency, and mucus and sometimes pus and blood will be alternating. will be culture positive rate of less than acute. chronic dysentery (3} the course of chronic dysentery in 2 months. due to acute phase treatment is not timely, or suffering child physical weakness, malnutrition, rickets, parasites, anemia and other complications caused by drug-resistant strains can also be caused by. In addition to diarrhea, other symptoms not typical. a long course of the disease may appear thin, weak, mild anemia and so on . pathologic pathogen Shigella Shigella are Gram stain was negative. by bacterial antigens were divided into Shigella, flexneri bacteria, Bao coli, salmonella sonnei 4 groups. this genus in ability to survive in the external environment, in which the strongest sonnei coli, Shigella weakest. in the sun for half an hour, 60 for 10 minutes when, 100 when the immediate, may be killed. Tathagata general disinfectant Su children, bleaching powder, benzalkonium bromide, peracetic acid, etc. can be inactivated. Epidemiology of dysentery can occur throughout the year, but summer and fall incidence. dysentery patients and carriers is a of infection, light, chronic healthy carriers of dysentery and easily overlooked. faecal route of transmission, oral infection mainly of poor health habits in children susceptible to the disease. children with chronic dysentery and more of a latent, atypical and persistent, difficult to detect , it is easy to pop in the pediatric population. people were not lasting immunity after infection and can be made. chills, fatigue, poor diet, nutritional deficiencies, intestinal flora imbalance and other factors that can both reduce the resistance of this disease. main types of overof Chinese medicine, the disease usually caused by hot and humid outside, Immunotoxin of the gas, internal injuries, cold food, stomach and internal organs from injury, a "gut provision, dysentery" category. "Yang-Ming Su Wen lunar theory" goes: "diet section, from time to time . living under Xiang vent, a long time for intestinal provision. "," Treatment of Health meeting "that:" the provision of those gut, that heat accumulation in the intestine. term of the present dysentery also, twenty years before a disease-not a diarrhea, dysentery is wet, hot, food plot three. "Differential Treatment in the treatment approach should be taken," Jing Yue Quan Shu, "says:" Where the rule of dysentery, the actual situation when the police, identified heat and cold, the largest relationship Xie Li, if the four unknown is very easy to kill people. "Therefore, first identified the disease syndrome cold, hot, virtual, real, clinical when it was abdominal pain, tenesmus, dysentery and color, and Senate combined tongue and pulse and identified, usually divided into 6 types. now Differentiation of various types of guidelines and treatment principles are as follows. humid type of the disease were abdominal pain, dysentery under Chibai sepsis, yellow and greasy fur, slippery pulse number of points of differentiation. pathogenesis of evil invaded the stomach for the hot and humid, block blood , not General pain, it is abdominal pain, tenesmus; heat stagnation in the large intestine meridian damaged, so the diarrhea Chibai sepsis; yellow greasy moss, pulse a few slip as hot and humid like. governance are advised to heat dampness, regulating qi xue . Available Peony Decoction: peony, honeysuckle each 15g, angelica, rhubarb, baicalin, berberine the 9g, betel nut, wood, cassia twig, licorice all 5g. blood, phlegm were hot, add Burnet, peach kernel, Dan. Alpine-type of this disease with abdominal pain fullness, prefer warm, diarrhea less white and more red or white frozen as points of differentiation. pathogenesis cold dampness of the evil invading the stomach, blood stasis, bowel gas pass down negative, so the expansion of abdominal pain Man, tenesmus; due to pathogenic cold, so warm hi; alpine cross-resistance of evil colon, Meridian damaged, the diarrhea less white and more red or white jelly; pale tongue, greasy moss, pulse slow as the cold dampness of How like. governance is desirable temperature of the cold dampness, qi and blood. Weiling Decoction used: the herb, Magnolia officinalis, dried tangerine peel, Poria, Angelica of the 10g, Gui, artillery ginger, woody, citrus aurantium the 3g. If Hanshen who increase the amount of gun ginger. Immunotoxin rapid-onset type of the disease to, abdominal pain, tenesmus stronger than the play or hot irritability, red purple, yellow dry coating, slippery pulse number of points of differentiation. pathogenesis Immunotoxin evil, hurt the most speed, so the abrupt onset, Immunotoxin smoked intestinal burning, Hao Shang qi and blood, meridians damaged, so the fresh purple pus and blood diarrhea; Immunotoxin even in hot and humid air of evil, it is more drama abdominal pain tenesmus; drug Sheng , the disability allowance to help heat, so the strong thermal polydipsia; red tongue, purple, yellow dry coating, slippery pulse number Immunotoxin flaming heat of the sign. governance is desirable that heat and cooling blood detoxification. Pulsatilla Decoction: PCR, honeysuckle, peony root of the 3 Martin, Qin skin, Burnet the 15g, Coptis 3g, Cork 6g. Shenhun spasm Juezhe plus horns, antelope horn. this type of need with Western allopathic, to ease the pressing need. yin deficiency type in the Zheng Jian Jiu Li Jin hurt the patient. sepsis sticky under the dysentery, virtual sit responsibility efforts, red purple tongue is dialectical points less. pathogenesis of intestinal stagnation for the evil, the Yin and Blood deficiency, it is under the pus and blood viscosity dysentery; Camp virtual yin Enough take responsibility efforts; red tongue purple little coating, pulse breakdown of the levy for the Yin and Blood depletion. governance are advised clearing away heat, pain and blood. Coptis Decoction Ejiao parking Pill: Coptis, ebony all 6g, Scutellaria, donkey-hide gelatin , Angelica the l0g, peony, Burnet carbon each 15g. If excessive diarrhea, virtual dedicated effort to sit, plus Chishi Zhi, Yu surplus, ginseng. Deficiency type of this disease under the thin card to dysentery or white and cold, eat less Shenpi and waist cold extremities, or points of differentiation can not help but slip. pathogenesis of the spleen in the cold, cold Liuzhi intestine, diarrhea, thin it with white jelly; spleen and stomach so eat less Shenpi, limbs not warm; falling kidney, Kidney failure, close is not solid, so the backache cold, slip can not help; pale tongue, white, thin pulse are the signs of Deficiency. governance are advised to spleen and kidney warming, astringent solid off. peach Tang dirty Tonga live support Less: Chishi Zhi, Yu surplus, white peony root of the 15g, aconite, ginger the 3g, Bai Zhu l0g, myrobalan 6g. If Jiu Li prolapse, available Bu Zhong Yi Qi Tang. rest dysentery type of the patients had diarrhea more than history. to when this time, one year-round unhealed for the differentiation points. pathogenesis of diarrhea course of time, love is imaginary evil, cold and heat mixture, gastrointestinal Secretary conduction loss, it is hard to be cured, when issued upon; heat nostalgia do not, the root cause is not in addition , so the feeling induced by exogenous pathogens or improper diet, fat is in acute abdominal pain, stool mucus, or see the red folder, greasy fur is not based, as the clock How hot and humid, or not entirely imaginary, upright weakness of the sign. Wenzhong Qing rule are advised intestine, transfer gasification stagnation. even the rationale for Tonga taste: Ginseng, Atractylodes, woody the l0g, ginger, citrus aurantium, licorice each 5g, Coptis 6g. In addition, acupuncture can be used. according to the disease are often used in music pool, gu, full three years, up and down Shangjuxu, Shenque, under the abdominal, Tianshu, colon Yu, spleen and other points. clinical diagnosis of dysentery dysentery card card, a white diarrhea, dysentery, red white diarrhea, Jinkou diarrhea, dysentery and other breaks. 1. pullorum: Wet better than hot, evil sub-injured air, the sticky white matter disease under dysentery, or if the soybean milk, abdominal pain after the heavy, chest and abdomen swelling of the liver, nausea, urinate seems in a white or yellow, or wet dysentery. 2. dysentery: hot than wet , evil injury Blood, under the property of their disease dysentery yellow red, or pure red, or if the fish brain, abdominal pain, tenesmus, hot red urine, polydipsia lead to drink, or see high fever, Yiming heat dysentery. 3. red white diarrhea : heat simmers, the blood and injury, the disease Chibai complex, the shape of a fish brain, stench abnormalities, polydipsia, abdominal pain, pulse moisten and several, Yiming heat dysentery. 4. Jinkou dysentery: diarrhea Chibai, vomit inverse, can not be satisfied that the food, chest abdominal swelling of the liver, nausea, fatigue Shenpi. more a result of heat is not based, congestion appetite, or made dirty cloud barrier Weiwanxiashu 5. Rest dysentery: is virtual evil trap, linger stomach, dysentery long-suppressed more, repeatedly made repeated only, an air of fatigue, pale complexion, lean shape and weak, thy and weak pulse. Check measures the total number of acute patients and neutrophil leukocytes increased, may have a left shift, chronic disease may have anemia. typical patient stool examination seen a lot of pus and red blood cells, and phagocytic cells, not the typical white person I saw little. selection of pus and blood in the stool easy to get positive results. x ray and sigmoidoscopy examination can be used for chronic dysentery and differential diagnosis. differential diagnosis in endemic dysentery season history of exposure to contaminated food or history of fever, pus and blood will stick peptone, tenesmus and other symptoms of the disease should be considered. In summer and autumn, there are sudden high fever, seizures, pale, cold peripheral extremities, thy pulse should take into account the number of toxic bacillary dysentery. the disease has vomiting, abdominal pain, but if the patient developed severe vomiting, persistent severe abdominal pain, should first rule out other intestinal and external disease, to prevent misdiagnosis. It should be noted with the following diseases differentiated: pathogenic E. coli enteritis mainly in children under 2 years 8 months, 5-a higher prevalence. may have mucus stool, a fishy taste, more like egg drop soup was thin, stool frequency more easily lead to dehydration, acidosis. microscopy may have white blood cells, pus, fecal bacteria by culture can be confirmed. Salmonella enteritidis is often a family or group attack, vomiting, more common, more pus stool mucus, often has green jelly shape. tenesmus rare, stool bacterial culture can be confirmed. viral diarrhea more common in children within 2 years of age. begins abruptly, with symptoms of upper respiratory tract infection, or egg drop soup was watery stool sample, may have a small amount of mucus, No stench. faecal bacteria culture-negative, so the immune electron microscopy, ELISA and polyacrylamide gel electrophoresis, and virus isolation has helped in the diagnosis of the disease. amoebic dysentery south common, mainly in older children. slow onset, stool more frequently, but no tenesmus, stool with blood and mucus, was purple jam-like, microscopic examination of fresh stool mucus can be found in amoeba trophozoites. hemorrhagic enteritis acute onset of abdominal pain, bloating, vomiting and other symptoms. stool was bloody stools, often appears late shock. faecal culture negative, X-ray examination can help diagnose this disease. JE epidemic season and the poisoning of its type dysentery same. In the absence of intestinal symptoms of toxic dysentery, the two similar. cerebrospinal fluid examination for the diagnosis of epidemic encephalitis help; the warm salt water enema to filling out the examination or training materials, you can clear the toxic dysentery diagnosis. cholera and cholera in the epidemic season from infected areas, there are edible aquatic history of acute vomiting and diarrhea, water and more Taomi Shui was like, stool bacterial culture can help diagnose. pus intestinal tuberculosis can occur blood stools, and dysentery similar, but its incidence is slow, any history of tuberculosis, may have the afternoon fever and night sweats, tuberculin test was positive; stool culture diagnosis. pathogenesis of the disease in the colon or terminal ileum suppurative inflammation as the main lesions. Because Shigella invasion resulting from internal and external toxins to intestinal damage, the lesion more nuclear cell infiltration, the formation of abscesses or ulcers. lesion enlargement of local mesenteric lymph congestion. toxic bacillary dysentery is the main pathological changes in systemic small arteries increased permeability of the wall, so that severe vascular wall surrounding tissue edema, visceral organs (such as brain, liver, kidney and adrenal gland, etc.) edema. transmission of food-based communication: In recent years, outbreaks of food-type more common than in the past. dysentery bacilli in vegetables, fruits, pickles in 1 to 2 weeks survive, and the grapes, cucumber, jelly, tomatoes, pudding and other food on the breeding, so the consumption of fruits and cold food and dirty place can cause dysentery. chef and the use of contaminated Shigella do cold food cold and other pollution, often can cause dysentery outbreaks. water-transmission: contaminated water can cause bacillary dysentery outbreak. If the patient and improper excreta disposal carriers, water conservation is not good, natural water contaminated by faeces , well water, tap water for drinking without disinfection, often is the root cause of bacillary dysentery outbreak. daily life- transmission: the main spthrough contaminated hands, this life exposure to non-epidemic season in the major route of transmission of sporadic cases. If tables and chairs, toys, doorknobs, handrails and other buses, may be contaminated by Shigella, if hand with the contaminated product, you can carry diseases and if the right to grab food, or children have the habit of sucking fingers, putting and pathogenic bacteria into the mouth. flies: flies have manure, food and eating habits, can easily result in food contamination, observed in many areas the prevalence of diarrhea consistent with long-term elimination of flies. treatment western medicine (1) acute diarrhea common type of treatment to conventional therapy: children to bed rest, isolation and the use of disinfection measures. Food to eat or semi-liquid food flows mainly vomiting and diarrhea, abdominal distention may be short-term fasting in children with weight. antibiotic therapy: choice of droperidol acid, gentamicin, such as berberine and combined with oral cotrimoxazole. course of 7-10 days. adsorption therapy: may be given Smecta bacteria and their toxins have strong absorption and inhibit bacterial growth can also bind to and interact with the mucus proteins, strengthening the role of gut mucosal barrier. microbial therapy: Available with Bifidobacterium. It intestinal epithelial cells with the combination of protection from the occupying inhibit bacterial invasion to maintain the ecological balance of intestinal micro. rehydration therapy: According to the method of dehydration and rehydration fluid volume determined. (2) the treatment of chronic dysentery
Western medicine commonly used drug and dose antibiotic therapy with the treatment of acute dysentery, but the longer course of treatment. Can be intermittent therapy, medication 7-10 days, rest 4 days, and then treated for 4 days, 4 days rest, then repeat the 4-day total course of 3-4 weeks. Garlic can also be mixture of berberine or enema. It should be noted the long-term use of antibiotics can cause intestinal flora. Stool culture should be negative, pus and blood will disappear after use of Chinese medicine, vitamins, probiotics and smecta and other drugs. diet therapy: In addition to antibiotic therapy of chronic dysentery, we must also focus on improving the nutritional status of patients. (3) the treatment of toxic dysentery microcirculation: category of drugs available to relieve spasm Alto, to prevent shock. Dopamine, phentolamine, isoproterenol kidney dilation of blood vessels. Chlorpromazine inhibition of drug use hibernation, the blood vessel wall receptors, the capillaries, improve microcirculation, and there is calm and reduce the role of basal metabolism. Glucocorticoid, hydrocortisone anti-inflammatory, reducing brain edema, reduce symptoms of poisoning. Expansion and correction acid: According to slow down after the infusion speed, the first sugar, salt, see the principles of urinary potassium in the fluid. respiratory failure: oxygen, to maintain airway patency, the use of respiratory stimulants, critically ill patient for endotracheal intubation or artificial respiration. cerebral edema: the brain-type cases should use the dehydrating agent mannitol, dexamethasone intravenously, or rapid intravenous infusion. infection control: time for susceptibility testing, the rational use of antibiotics. Out before the drug susceptibility results are generally preferred quinolones such as Ciprofloxacin intravenous administration, but so medicines may affect bone development with young children, treatment should not be too long. Usually 5-7 days. Also commonly used cephalosporins, such as cefoperazone, cefotaxime first hold ammonia to control infection. Cooling: Available Lai Bilin, paracetamol, naproxen and other cool, but also cold saline enema and physical cooling. Chinese medicine treatment 1, wet dysentery Therapeutic heat dampness, regulating qi and Blood Circulation Recipe Peony Decoction Fang Huang Qin, Huanglian Qingjiang hot dampness, detoxification Zhili; rhubarb, nuts swing heat to lag, pass by universal; wood, betel nut adjustment gas line delay; angelica, peony, licorice Blood Circulation and business, priorities pain; cinnamon Xin Wen, Corrigent Qin, even. Rhubarb the bitter cold of Acrid bitter falling into the tendency to loose the knot of evil stagnation. Dysentery early, to cinnamon, plus Silver Flower, Andrographis paniculata, etc. to enhance the power of detoxification. In Table Permit, plus Nepeta, San evil wind of the table, or anti-Jing Bai Du San, pull the boat upstream. And food stagnation persons, plus radish seed, Hawthorn, The Divine Comedy digestion Daozhi. Under the less red and more white dysentery, anus burning, thirst-hi cold, wet card is more important than those hot, add Pulsatilla, cork, leather straight clear in the heat of Qin. Less white and more red under dysentery, greasy tongue coating, permits are in heat by wet weight to skullcap, angelica, plus Poria, Atractylodes, Magnolia, Citrus, etc. spleen dampness. Dysentery were under the red, plus Burnet, Dan, Agrimony, Biota orientalis and other cooling blood to stop bleeding. 2, cold temperature of the cold dampness dysentery governance law, regulating qi and Blood Circulation Recipe Weiling Decoction 3 Therapeutic detoxification dysentery epidemic toxin, cooling blood Zhilishen prescription Pulsatilla Decoction 4, spleen and kidney warming Deficiency Therapeutic dysentery, intestinal astringent solid keep off the herbs real dirty Decoction 5, Yin Yin Xiere therapies dysentery, bowel Zhilishen parking Pill Prescription Ejiao Coptis Decoction 6, rest dysentery Therapeutic Qi and spleen, regulating qi and dredge San SHENLINGBAISHU Recipe Modified therapeutic Scutellaria, Phellodendron, fried Burnet, Agrimony, 15 grams fried, fried Hawthorn, fried malt, 30 grams, plantain 10 grams, 30 grams Atractylodes. Shuijianbi, day one, a two-served. Indications bacillary dysentery. Atractylodes fried, fried yam 30 grams each, Chi Shizhi 20 grams, 10 grams of poppy, Plantago (including fried) 15 grams. Shuijianbi, Japan 1, 2 times service. Indications bacillary dysentery. peel, Burnet, 50 grams. Shuijianbi, Japan 1, 3 times service. Indications bacillary dysentery. a pig gall, bean amount. Within the green beans into the gall bladder, bile to be immersed in green beans before disposal, overcast in the oral, twice daily, 10 pills each. Indications bacillary dysentery. 9 grams of ginger, eggs 1. Ginger mash and steamed into the egg phase, fasting Dayton clothing, 2 times. Indications of dysentery since the beginning of the table with both chills fever card. Precautions to prevent diarrhea, should do the following: environmental sanitation, strengthening toilets and manure management, elimination of flies breeding grounds, mobilize the masses to eliminate flies. Enhance food hygiene and water management, especially for individuals and good food hygiene supervision and inspection of street vendors. Collective units and nurseries cooks, nurses should be regularly checked stool for bacterial culture. Strengthen health education for all, wash your hands before meals and after do not drink unboiled water, do not eat bad and rotten food, do not eat the food been off by flies. Do not eat too much, so as not to lower gastrointestinal tract-related diseases resistant to amoebic dysentery,
Amoeba, also known as intestinal amebiasis (intestinalamebiasis), is organized by the pathogenic amoeba dissolved after the invasion of the colon wall due to dysentery symptoms in the digestive tract diseases. Multiple lesions in the ileocecal colon, easy to relapse into chronic. Also by the intestinal wall by the blood parasite - lymphatic or direct migration to the liver, lung, brain and other organs as parenteral amebiasis, especially amebic liver abscess is most common.


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