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Shigellosis

Signs & Symptoms

 Abdominal pain
Ref: Uptodate [ Shigella infection: Clinical manifestations and diagnosis] Harrison [ 1181] Epocrates [ https://www.epocrates.com/online/diseases/1174/shigella-infection#history-exam]
Abdominal cramps
Ref: Uptodate [ Shigella infection: Clinical manifestations and diagnosis] Harrison [ 1181]
September
Note: In the United States
Ref: Uptodate [ Shigella infection: Epidemiology, microbiology, and pathogenesis]
October
Note: In the United States
Ref: Uptodate [ Shigella infection: Epidemiology, microbiology, and pathogenesis]

Physical Examination

 Hypoglycemia
Ref: Uptodate [ Shigella infection: Clinical manifestations and diagnosis] Harrison [ 1181]
Abdominal tenderness
Note: due to Toxic megacolon
Ref: Harrison [ 1181]
Hypothermia
Note: due to Bacteremia
Ref: Uptodate [ Shigella infection: Clinical manifestations and diagnosis]

Lab / Serology

 High PMN counts
Ref: Harrison [ 1182]
Acidosis Gr. Infants #Infants
Ref: Uptodate [ Shigella infection: Clinical manifestations and diagnosis]
Positive shigella PCR test
Ref: Uptodate [ Shigella infection: Clinical manifestations and diagnosis]

Imagin Study

 Pneumatosis coli
Note: due to Toxic megacolon
Ref: Harrison [ 1181]
Thumbprinting
Note: due to Toxic megacolon
Ref: Harrison [ 1181]
Dilation of the transverse colon
Note: due to Toxic megacolon
Ref: Harrison [ 1181]

Complication

 Abdominal distension Gr. Infants #Infants
Ref: Uptodate [ Shigella infection: Clinical manifestations and diagnosis]
Hyponatremia Gr. Infants #infant
Note: due to Syndrome of inappropriate antidiuretic hormone secretion
Ref: Uptodate [ Shigella infection: Clinical manifestations and diagnosis] Harrison [ 1181]
Proctitis Gr. Infants #Infants
Ref: Uptodate [ Shigella infection: Clinical manifestations and diagnosis]

Risk Factors

 Children
Ref: Uptodate [ Shigella infection: Epidemiology, microbiology, and pathogenesis]
Age greater than 50
Ref: Epocrates [ https://www.epocrates.com/online/diseases/1174/shigella-infection#risk-factors]
Age < 5 - infantile
Ref: Epocrates [ https://www.epocrates.com/online/diseases/1174/shigella-infection#risk-factors]

Cause

Other