Shigella - Revision history

ClaireLewis at 15:39, 8 February 2021

2021-02-08T15:39:44Z

← Older revision		Revision as of 15:39, 8 February 2021
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	*Anaerobic, [[gram-negative]] rod		*Anaerobic, [[gram-negative]] rod
	*Requires a very small inoculum to cause disease		*Requires a very small inoculum to cause disease

			==Clinical Features==
	*Symptoms usually start within 1-3 days of exposure<ref>Missouri Department of Health and Senior Services. Shigellosis. Last revised June 2017. https://health.mo.gov/living/healthcondiseases/communicable/communicabledisease/cdmanual/pdf/Shigella.pdf</ref>		*Symptoms usually start within 1-3 days of exposure<ref>Missouri Department of Health and Senior Services. Shigellosis. Last revised June 2017. https://health.mo.gov/living/healthcondiseases/communicable/communicabledisease/cdmanual/pdf/Shigella.pdf</ref>
	**Variation depends on serotype		**Variation depends on serotype
	**Can be anywhere from 12 hours to 7 days for incubation period		**Can be anywhere from 12 hours to 7 days for incubation period
			*[[Fever]]
	~~==Clinical Features==~~		*[[Diarrhea]] (can be bloody)
	*Fever		*Generalized [[abdominal pain]]
	*Diarrhea (can be bloody)		*In severe cases in children, can lead to [[seizure (peds)\|seizures]]<ref>Lahat E, Katz Y, Bistritzer T, Eshel G, Aladjem M. Recurrent seizures in children with Shigella-associated convulsions.External Ann Neurol. 1990;28(3):393-5.</ref>
	*Generalized abdominal pain
	*In severe cases in children, can lead to seizures<ref>Lahat E, Katz Y, Bistritzer T, Eshel G, Aladjem M. Recurrent seizures in children with Shigella-associated convulsions.External Ann Neurol. 1990;28(3):393-5.</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

Elcatracho: /* Background */

2021-02-06T01:02:14Z

Background

← Older revision		Revision as of 01:02, 6 February 2021
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	**Variation depends on serotype		**Variation depends on serotype
	**Can be anywhere from 12 hours to 7 days for incubation period		**Can be anywhere from 12 hours to 7 days for incubation period

			==Clinical Features==
			*Fever
			*Diarrhea (can be bloody)
			*Generalized abdominal pain
			*In severe cases in children, can lead to seizures<ref>Lahat E, Katz Y, Bistritzer T, Eshel G, Aladjem M. Recurrent seizures in children with Shigella-associated convulsions.External Ann Neurol. 1990;28(3):393-5.</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

Elcatracho: /* See Also */

2021-02-06T00:59:47Z

Kxl328: /* Background */

2018-10-12T01:44:10Z

Background

← Older revision		Revision as of 01:44, 12 October 2018
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	*Anaerobic, [[gram-negative]] rod		*Anaerobic, [[gram-negative]] rod
	*Requires a very small inoculum to cause disease		*Requires a very small inoculum to cause disease
			*Symptoms usually start within 1-3 days of exposure<ref>Missouri Department of Health and Senior Services. Shigellosis. Last revised June 2017. https://health.mo.gov/living/healthcondiseases/communicable/communicabledisease/cdmanual/pdf/Shigella.pdf</ref>
			**Variation depends on serotype
			**Can be anywhere from 12 hours to 7 days for incubation period

	==Differential Diagnosis==		==Differential Diagnosis==

Kxl328: /* Background */

2018-10-07T01:31:10Z

Background

← Older revision		Revision as of 01:31, 7 October 2018
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	==Background==		==Background==
	*Anaerobic, [[gram-negative]] rod		*Anaerobic, [[gram-negative]] rod
			*Requires a very small inoculum to cause disease

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1 at 11:26, 15 February 2017

2017-02-15T11:26:00Z

← Older revision		Revision as of 11:26, 15 February 2017
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	==Background==		==Background==
	*Anaerobic, gram-negative rod		*Anaerobic, [[gram-negative]] rod

	==Differential Diagnosis==		==Differential Diagnosis==
	~~'''[[Diarrhea]] Differential'''~~
	{{Diarrhea DDX}}		{{Diarrhea DDX}}

Alberina: /* Background */

2017-02-10T17:15:32Z

Background

← Older revision		Revision as of 17:15, 10 February 2017
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	==Background==		==Background==
			*Anaerobic, gram-negative rod

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Management */

2015-04-04T23:33:37Z

Management

← Older revision		Revision as of 23:33, 4 April 2015
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	==Management==		==Management==
			===Adult===
			*[[Antibiotics]]
			**Not essential, since infection clears spontaneously in most individuals
			**However, most favor antibiotic therapy for patients with positive stool culture<ref>Dupont HL. Shigella species (bacillary dysentery). In: Principles and Practice of Infectious Diseases, 6th Ed, Mandell GL, Bennett JE, Dolin R (Eds), Churchill Livingstone, Philadelphia 2005. p.2655.</ref>
			**First line is [[fluroquinolone]] (e.g. [[Cipro]] 500mg PO BID x 7 days)

	===[[Antibiotic Sensitivities]]<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>===		===[[Antibiotic Sensitivities]]<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>===
	{\| class="wikitable"		{\| class="wikitable"

Rossdonaldson1: /* Differential Diagnosis */

2014-09-01T12:43:13Z

Differential Diagnosis

← Older revision		Revision as of 12:43, 1 September 2014
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	==Differential Diagnosis==		==Differential Diagnosis==
	~~===~~Diarrhea~~===~~		'''[[Diarrhea]] Differential'''
	{{Diarrhea DDX}}		{{Diarrhea DDX}}

Rossdonaldson1: /* Differential Diagnosis */

2014-09-01T12:42:34Z

Differential Diagnosis

← Older revision		Revision as of 12:42, 1 September 2014
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	==Differential Diagnosis==		==Differential Diagnosis==
			===Diarrhea===
	{{Diarrhea DDX}}		{{Diarrhea DDX}}

← Older revision		Revision as of 00:59, 6 February 2021
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	*[[Microbiology (Main)]]		*[[Microbiology (Main)]]
	*[[Diarrhea]]		*[[Diarrhea]]

			==External Links==
			*[https://www.cdc.gov/shigella/symptoms.html CDC: Shigella]

	==References==		==References==