ALDO CASTELLANI, M.D.
Some years ago I introduced a new classification of bacterial dysenteries as follows:
1. Bacterial dysentery, sensu stricto (synonyms Shiga dysentery, Shiga-Kruse dysentery), due to dysentery organisms which do not ferment lactose or mannitol and do not clot milk (Shiga-Kruse bacillus).
2. Paradysentery, due to organisms which do not ferment lactose, ferment mannitol (acid only), do not clot milk (Flexner, Hiss—Russell, etc.).
3. Metadysentery, due to organisms, the metadysenteric bacilli, which, as is the case with the true dysentery bacilli, do not produce gas in any sugar, but either ferment lactose (acid only) and clot milk or ferment lactose (acid
CASTELLANI A. Metadysentery1. Ann Intern Med. ;2:155–170. doi: 10.7326/0003-4819-2-2-155
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Published: Ann Intern Med. 1928;2(2):155-170.
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