Waterborne transmission of epidemic cholera in Trujillo, Peru: lessons for a continent at risk.

The epidemic of cholera that began in Peru in January, 1991, marked the first such epidemic in South America this century. Subsequently, over 533,000 cases and 4700 deaths have been reported from nineteen countries in that hemisphere. We investigated the epidemic in Trujillo, the second largest city in Peru.

An outbreak of shigellosis aboard a cruise ship caused by a multiple-antibiotic-resistant strain of Shigella flexneri.

From October 23 to October 27, 1989, an outbreak of gastroenteritis occurred aboard a cruise ship in the Caribbean. The 818 passengers and 518 crew members were surveyed for gastrointestinal symptoms; 72 (14%) of 512 passengers and 12 (3%) of 388 crew members who answered the survey reported having a diarrheal illness. Multiple-antibiotic-resistant Shigella flexneri 4a was isolated from 19 ill passengers and two ill crew members.

Leiomyoma of the cecum presenting as an acute surgical abdomen: report of a case.

This is a case of a benign leiomyoma of the cecum that perforated the bowel wall and manifested as an acute surgical abdomen. The literature was reviewed and the lesion was found to be uncommon. Clinical pictures may vary, but a colonic mass of this nature should be treated as a cancer, as it is not usually possible to distinguish benign from malignant lesions preoperatively.