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Shigellosis

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Shigellosis

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  • Dr. Arthur L Burnett
  • Updated 2024-08-22
  • Published 2024-03-06

Shigellosis (Shigella) “A Cause of Bloody Diarrhea”: Pathophysiology, Symptoms, Diagnosis, Treatment

What is Shigellosis?

Shigellosis is an infectious disease caused by a group of bacteria called Shigella. It primarily affects the intestinal tract and causes diarrhea, fever, and stomach cramps.

How is Shigellosis spread?

Shigellosis is typically spread through direct contact with the bacteria in the stool of an infected person. This can happen through eating contaminated food, drinking contaminated water, or through poor hygiene practices.

What are the symptoms of Shigellosis?

Symptoms of Shigellosis include diarrhea (often bloody), fever, stomach cramps, and sometimes vomiting. Symptoms usually begin 1-2 days after exposure and can last for a week.

Who is at risk for Shigellosis?

Anyone can get Shigellosis, but it’s more common in young children, especially those in childcare settings. Travelers to developing countries, people in institutions, and men who have sex with men are also at higher risk.

How is Shigellosis diagnosed?

Shigellosis is diagnosed through a laboratory test that detects Shigella bacteria in the stool of an infected person.

What is the treatment for Shigellosis?

Mild cases of Shigellosis may resolve without treatment. Severe cases may require antibiotics. It’s important to stay hydrated, and over-the-counter remedies may help alleviate symptoms.

Can Shigellosis be prevented?

Prevention includes practicing good hygiene, such as washing hands thoroughly, avoiding contaminated food and water, and cooking food properly. Vaccines are not currently available for Shigellosis.

The bacteria are usually spread through contaminated food or water, or through direct contact with an infected person. Poor sanitation and hygiene practices can contribute to the spread of Shigella bacteria.

Shigellosis is more common in areas with inadequate sanitation and crowded living conditions. It can occur in both children and adults, but young children, especially those in daycare centers or similar settings, are at higher risk of infection.

The symptoms of shigellosis usually appear 1-2 days after exposure to the bacteria and can last for several days. In severe cases, the infection may require medical treatment, including antibiotics, and can occasionally lead to complications such as dehydration or bloodstream infections.

To prevent shigellosis, it is important to practice good hygiene, such as washing hands thoroughly with soap and water, especially after using the toilet, handling diapers, or before preparing food. Proper food handling and sanitation practices are also essential to prevent the spread of the bacteria.

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Causes of Shigellosis

  • Poor sanitation and hygiene practices
  • Contaminated food or water with Shigella bacteria
  • Fecal-oral transmission (ingesting food or water contaminated with infected feces)
  • Contact with infected individuals (person-to-person transmission)
  • Inadequate handwashing after using the toilet or changing diapers
  • Poorly cleaned and sanitized food preparation surfaces
  • Traveling to regions with high prevalence of shigellosis
Disease Symptoms
Shigellosis
  • Abdominal pain
  • Diarrhea
  • Fever
  • Nausea
  • Vomiting
  • Cramps
  • Dehydration
  • Q&A
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