histolytica Absent Bacteria Seen Many motile bacteria Scanty, nonmotile ( Shigella is non motile bacteria) Culture Growth on MacConkey Agar Various intestinal flora may grow Pure growth of Shigella spp. histolytica Eosinophils Present Scarce Charcot-Leyden (C-L) crystals* Present Absent Pyknotic bodies** Present Absent Ghost Cells*** Absent Present Parasites Seen Trophozoites of E. Anak Usia 10 tahun, BB 25 kg datang dengan keluhan wajah asimetris. Character Amoebic dysentery Bacillary dysentery Macroscopic Number 6-8 motions a day Over 10 motions a day Amount (Volume) Relatively copious Small amount Appearance and Amount Blood mucus, semi formed Blood mucus, mainly watery Odour Offensive (fishy odour) Odourless Colour Dark red (altered blood) Bright red (fresh blood) Reaction Acidic Alkaline Consistency Not adherent to the container Adherent to the container Microscopic RBCs In clumps Discrete, sometimes in clumps due to rouleaux formation Pus Cells Few Numerous Macrophages Few Numerous, many of them contain RBCs hence may be mistaken for E. Diagnosis : Diare akut non disentri tanpa dehidrasi Obat : - Oralit sascet tiap BAB - Zink syrup 20 mg 1x1 cth - Lacto -B 2x1 sascet - Domperidon syrup (vometa) 3x1/2 cth 3. Other bacterial causes of dysentery are, Vibrio parahaemolyticus, Enteroinvasive E.coli (EIEC), Enterohemrorrhagic E.coli (EHEC), Campylobacter spps, and Salmonella sps.Īmoebic dysentery (also known as amoebiasis) is caused by an invasive protozoan parasite, Entamoeba histolytica. Bacillary dysentery, also known as shigellosis is a bacterial disease caused by a group of bacteria called Shigella spp.

Diagnosa disentri