Shigellosis Clinical Presentation
- Author: Joyann A Kroser, MD; Chief Editor: Julian Katz, MD more...
History
- Acute bloody diarrhea[4]
- Crampy abdominal pain
- Tenesmus
- Passage of mucus
- Fever (1-3 d after exposure)
- Occasionally vomiting (35% prevalence)
- Self-limited course (3 d to 1 wk and rarely lasts as long as 1 mo)
Physical
- Lower abdominal tenderness
- Normal or increased bowel sounds
- Dehydration (occasional)
Causes
- S sonnei and S flexneri cause 90% of the cases of shigellosis.
- S dysenteriae has produced epidemic shigellosis.
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