New and old agents in diarrhea; a prospective study of an indigenous adult African population.
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In Nairobi, Kenya, 77 adults with acute diarrhoea were studied in an attempt to determine the major pathogens responsible. Amoebic dysentery was not seen although haemagglutination-inhibition tests for invasive Entamoeba histolytica were positive in 4 inpatients. One patient had a heavy parasitaemia with Plasmodium falciparum. It is concluded that recognizable aetiological agents are associated with most diarrhoeal illnesses but that these illnesses are not commonly due to amoebiasis.