Careful when mentioning dysentery and nosema in the same sentence. Neither of the Nosema's causes dysentery, but the latter certainly exaccerbates the spread of the disease. Depends which examiner you have looking at your paper as to how they mark this question despite guidance!
Apis has been historically known as 'Spring dwindling' and certainly colonies that fail to build up in the Spring are frequently found to have a bad dose of Nosema apis. Also, N. ceranae does not like the cold and builds up in the bees much more in the summer (see research on nosema in Spanish colonies). Whilst pooing outside in the summer seems to help the bees to get rind of apis spores, the heat makes ceranae more virulent. Therefore, a colony that goes down hill when apparently all else is fine (flow good, weather OK etc) i the summer, might well be found to have N. ceranae. Left to its own devices the colony may collapse completely leaving a few remaining bees to beg a home in nearby hives thus continuing the spread of the disease.
Good luck,
Meg