Pathogenesis of Shigellosis
Shigellosis is present all over the world. Anyone traveling in developing countries knows that the control of this invasive disease of the intestine is a priority task for physicians and public health authorities. Victims are essentially young children, a
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Editors R. W. Com pans, Birmingham/Alabama' M. Cooper, Birmingham/Alabama' H. Koprowski, Philadelphia I. McConnell, Edinburgh . F. Melchers, Basel V. Nussenzweig, New York . M. Oldstone, La Jolla/California . S. Olsnes, Oslo . M. Potter, Bethesda/Maryland . H. Saedler, Cologne . P. K. Vogt, Los Angeles . H. Wagner, Munich . I. Wilson, La Jolla/California
Pathogenesis of Shigellosis Edited by P. J. Sansonetti
With 15 Figures
Springer-Verlag Berlin Heidelberg NewYork London Paris Tokyo Hong Kong Barcelona Budapest
P. J.
SANSONETTI, MD. Institut Pasteur Unite de Pathogenie Microbienne Moleculaire 28, Rue du Dr. Roux 75724 Paris Cedex 15 France
Cover illustration: Movement of Shigella flexneri within Hela cells. Actin bundles forming two protrusions are observed in scanning electron microscopy after fixation that insolubilizes the cell cytoskeleton. Bacteria can be seen at the tip of these protrusions. M. Lesourd, P. J. Sansonetti, Station Centrale de Microscopie Electronique, Institut Pasteur. ISBN-13:978-3-642-77240-5 e-ISBN-13:978-3-642-77238-2 001: 10.1007/978-3-642-77238-2 This work is subject to copyright. All rights are reserved. whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustr.ations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law.
© Springer-Verlag Berlin
Heidelberg 1992 Softcover reprint of the hardcover 1st edititon 1992
Library of Congress Catalog Card Number 15-12910 The use of general descriptive names, registered names, trademarks, etc. m this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any mformatlon about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature.
23/3020-5 4 3 2 1 0 - Printed on acid free paper.
Preface
Shigellosis is present all over the world. Anyone traveling in developing countries knows that the control of this invasive disease of the intestine is a priority task for physicians and public health authorities. Victims are essentially young children, and complications such as the hemolytic uremic syndrome make shigellosis a systemic disease rather than simply an infection of the colonic mucosa. However, "Westerners" should not consider shigeJlosis as an unlikely threat of the tropics. The disease arises in industrialized countries as soon as breaches in sanitation appear. A few months ago, at least 500 people developed shigellosis in northern France in an
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