Shigellosis Clinical Presentation

Updated: Dec 20, 2017
  • Author: Joyann A Kroser, MD, FACP, FACG, AGAF; Chief Editor: BS Anand, MD  more...
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Presentation

History and Physical Examination

History

Manifestations of shigellosis generally begin within 1-2 of infection can include a range of the following [1, 12] :

  • Acute bloody diarrhea [33]

  • Crampy abdominal pain

  • Tenesmus

  • Passage of mucus

  • Fever (1-3 days after exposure)

  • Occasionally vomiting (35% prevalence)

  • Self-limited course (3 days to 1 week and, rarely, lasts as long as 1 month)

Physical examination

Clinical findings may include the following:

  • Lower abdominal tenderness

  • Normal or increased bowel sounds

  • Dehydration (occasional)