Shigella bacteremia in adults. A report of five cases and review of the literature

Morduchowicz, G.; Huminer, David; Siegman-Igra, Yardena; Drucker, Moshe; Block, Colin; Pitlik, Silvio

doi:10.1001/archinte.147.11.2034

Cited by 35 publications

(22 citation statements)

References 13 publications

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“…This coincides with the age distribution of shigellosis [6]. Shigellemia in adults is seen in high risk groups like diabetes mellitus, autoimmune hemolytic anemia, sickle cell anemia, and post solid organ transplantation [7].…”

Section: Discussionsupporting

confidence: 75%

Shigellemia in a post renal transplant patient: a case report and literature review

Appannanavar

Goyal

Garg

et al. 2014

J Infect Dev Ctries

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Shigellemia is a complication of shigellosis that occurs generally in malnourished children. In adults, shigellemia is usually seen in immunocompromised individuals. Here we report the first case of shigellemia in a renal transplant patient from India. The patient had history of diarrhea, which was treated symptomatically. Subsequently, the patient developed high-grade fever and blood culture was positive for Shigellaflexneri. Recovery was uneventful after the initiation of antimicrobial therapy. In a country like India with high prevalence of shigellosis, screening for Shigella in the pre-transplant period may minimize the morbidity and prolonged hospital stay associated with the complication of septicemia.

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Section: Discussionsupporting

confidence: 75%

Shigellemia in a post renal transplant patient: a case report and literature review

Appannanavar

Goyal

Garg

et al. 2014

J Infect Dev Ctries

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“…Bacteraemia/ septicaemia appears more common in elderly, or immunosuppressed patients. [5][6][7][8] Case reports describing isolation of S. sonnei in the sputum of an adult 11 and a child 12 with shigella dysentery add to the hypothesis that pneumonia complicating shigella dysentery may arise by haematogenous dissemination in some patients. Despite the negative culture of sputum and blood, it is possible in the patient described here that pulmonary infection arose via the haematogenous route.…”

Section: Discussionmentioning

confidence: 99%

Pneumonia complicating Shigella sonnei dysentery in an HIV-infected adult male

2005

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An HIV-1-infected adult presented with a short history of dyspnoea, productive cough and myalgia with fever. Shortly after presentation, he developed the abrupt onset of high-volume watery diarrhoea: stool culture grew Shigella sonnei. At the same time, he became hypoxaemic, and thoracic imaging showed bilateral lower lobe consolidation/collapse. Culture of sputum and blood was negative. The patient recovered with fluid resuscitation and ciprofloxacin monotherapy. This is the first reported case of pneumonia complicating S. sonnei dysentery in an HIV-infected adult.

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“…Other conditions predisposing to Shigella bacteremia are. those associated with impaired immune function such as malnutrition (4, 9) and severe liver or renal disease (9).…”

Section: Discussionmentioning

confidence: 99%

Polymicrobial and Recurrent Bacteremia with Shigella in a Patient with AIDS

Kristjánsson

Viner

Maslow

1994

Scandinavian Journal of Infectious Diseases

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Shigella gastroenteritis is uncommon among HIV seropositive patients and may be complicated in some patients by bacteremia; S. flexneri being the most frequently detected serogroup. While recurrent Salmonella bacteremia is common among HIV-seropositive patients, recurrent Shigella bacteremia is not. We report here an HIV-seropositive patient with Shigella gastroenteritis, polymicrobial bacteremia due to S. flexneri and S. boydii, and recurrent gastroenteritis and bacteremia with S. boydii. Relapsing infection with the same strain of S. boydii was determined using pulsed field gel electrophoresis. Thus, HIV-seropositive patients who develop Shigella infections may require prolonged treatment and/or suppressive therapy, similar to those infected with Salmonella. Patients who develop recurrent disease should be suspected as having polymicrobial bacteremia since the incidence of this may be underestimated among patients with AIDS, particularly those with concurrent gastroenteritis.

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Shigella bacteremia in adults. A report of five cases and review of the literature

Cited by 35 publications

References 13 publications

Shigellemia in a post renal transplant patient: a case report and literature review

Shigellemia in a post renal transplant patient: a case report and literature review

Pneumonia complicating Shigella sonnei dysentery in an HIV-infected adult male

Polymicrobial and Recurrent Bacteremia with Shigella in a Patient with AIDS

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