PMID- 6248600 OWN - NLM STAT- MEDLINE DCOM- 19800926 LR - 20190511 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 141 IP - 6 DP - 1980 Jun TI - Disease due to enterotoxigenic Escherichia coli in Bangladeshi adults: clinical aspects and a controlled trial of tetracycline. PG - 702-11 AB - The clinical characteristics of disease due to enterotoxigenic Escherichia coli (ETEC) were determined in 88 adult males admitted to a hospital in Dacca, Bangladesh, with moderate to severe dehydration. Persons infected with ETEC strains producing both heat-labile toxin (LT) and heat-stable (ST) toxin had more dehydration and acidosis, longer duration of illness, and greater stool volume than persons infected with strains producing only ST. Tetracycline therapy, evaluated in 63 cases, resulted in slightly earlier termination of illness in patients with LT-ST strains but had no effect on illness in the patients with ST strains. In both groups of patients tetracycline shortened the duration of excretion of organisms. Because of its limited effectiveness and the generally excellent response of ETEC diarrhea to rehydration therapy alone, tetracycline is not warranted for use in treatment of ETEC diarrhea in adults in this population. FAU - Merson, M H AU - Merson MH FAU - Sack, R B AU - Sack RB FAU - Islam, S AU - Islam S FAU - Saklayen, G AU - Saklayen G FAU - Huda, N AU - Huda N FAU - Huq, I AU - Huq I FAU - Zulich, A W AU - Zulich AW FAU - Yolken, R H AU - Yolken RH FAU - Kapikian, A Z AU - Kapikian AZ LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - F8VB5M810T (Tetracycline) SB - IM MH - Adult MH - Bangladesh MH - Clinical Trials as Topic MH - Diarrhea/drug therapy/*epidemiology/microbiology MH - Escherichia coli/classification/*drug effects/pathogenicity MH - Escherichia coli Infections/*drug therapy/microbiology/pathology MH - Feces/microbiology MH - Follow-Up Studies MH - Humans MH - Male MH - Microbial Sensitivity Tests MH - Rotavirus/isolation & purification MH - Salmonella/isolation & purification MH - Shigella/isolation & purification MH - Tetracycline/administration & dosage/*therapeutic use MH - Vibrio/isolation & purification EDAT- 1980/06/01 00:00 MHDA- 1980/06/01 00:01 CRDT- 1980/06/01 00:00 PHST- 1980/06/01 00:00 [pubmed] PHST- 1980/06/01 00:01 [medline] PHST- 1980/06/01 00:00 [entrez] AID - 10.1093/infdis/141.6.702 [doi] PST - ppublish SO - J Infect Dis. 1980 Jun;141(6):702-11. doi: 10.1093/infdis/141.6.702.