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Shigellemia in AIDS patients: Case report and review of the literature

Shigellensepsis bei AIDS-Patienten: Fallbericht und Literaturübersicht

Summary

Shigella bacteremia in adult patients is rare and is usually associated with immunosuppressive diseases. To date, 12 HIV-positive patients withShigella bacteremia have been reported in the medical literature. We report a case ofShigella dysenteriae bacteremia in a 39-year-old HIV-positive patient. Although the patient presented with bloody and watery diarrhea, stool cultures failed to grow enteric pathogens. The patient responded well to appropriate antibiotic therapy.

Zusammenfassung

Shigellenseptikaemien sind bei Erwachsenen sehr selten und meist mit Störungen des Immunsystems vergesellschaftet. Bisher wurden 12 HIV-positive Patienten mit Shigellensepsis in der medizinischen Literatur beschrieben. In der vorliegenden Arbeit wird ein 39-jähriger HIV-positiver Patient mit blutig-wässrigen Durchfällen beschrieben, bei demShigella dysenteriae aus der Blutkultur isoliert wurde. Gleichzeitig untersuchte Stuhlkulturen zeigten kein Wachstum von Enterocolitis-Erregern; der Patient sprach gut auf die eingeleitete Antibiotikatherapie an.

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Correspondence to Prof. Dr. med. A. von Graevenitz.

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Huebner, J., Gruner, E., von Graevenitz, A. et al. Shigellemia in AIDS patients: Case report and review of the literature. Infection 21, 122–124 (1993). https://doi.org/10.1007/BF01710748

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Keywords

  • Public Health
  • Internal Medicine
  • Infectious Disease
  • Diarrhea
  • Adult Patient