Multidrug Resistant Shigella Flexneri: A Rare Case of Septicemia in an Infant
Shigellosis is still an important public health problem in developing and under-developed countries. It may lead to rare but potentially fatal various extra intestinal complications like septicemia, involvement of CNS, urinary tract and liver especially in young malnourished children. The disease...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/4511/8434_CE[Ra1]_PF1(AG)_F(DK)_PFA(AK)_PF2(PAG)_PF2(PN).pdf |
| Summary: | Shigellosis is still an important public health problem in developing and under-developed countries. It may lead to rare but potentially
fatal various extra intestinal complications like septicemia, involvement of CNS, urinary tract and liver especially in young malnourished
children. The disease is difficult to prevent as only few bacteria are required for causing infection and there is increasing infection with multi
drug resistant strains. A 6-month-old infant developed septicemia caused by multi drug resistant Shigella flexneri during an episode of
gastrointestinal infection. The patient was managed in the emergency ward but unfortunately the infant expired. Considering septic shock,
blood culture, stool culture and other relevant investigations were done. Stool as well as blood culture yielded Shigella flexneri. The isolates
were multidrug resistant. Following is a rare case presentation of Shigella septicemia with severe shock, DIC and convulsions. The case
report demonstrates how shigellosis can lead to a rare life threatening complication and hence should be considered as a possibility in
septicemia associated with diarrhea and vomiting in infant and young children. |
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| ISSN: | 2249-782X 0973-709X |