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Shigellosis

  • Chapter
Bacterial Infections of Humans

Abstract

Shigellosis, an acute infectious enteritis of humans and on occasion subhuman primates, is often referred to as bacillary dysentery. The reason is that dysentery, a syndrome manifested by frequent passage of small-volume, bloody mucoid stools, abdominal cramps, and tenesmus, is widely considered to be the principal clinical presentation of the infection.(87) However, watery diarrhea without blood or mucus is common in all forms of shigellosis and may be the only intestinal sign of infection. (2,55) In addition, there are a myriad of manifestations described in shigellosis, some common and some rare, that without doubt qualify the organism as a protean pathogen. (10,114) The objective of this chapter is to present the salient features of shigellosis in sufficient detail to understand the spectrum of the disease and its distinctive epidemiology.

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Authors and Affiliations

  1. Department of Medicine Division of Geographic Medicine and Infectious Diseases, New England Medical Center Hospitals, Boston, Massachusetts, 02111, USA

    Gerald T. Keusch

  2. International Centre for Diarrhhoeal Disease Research—Bangladesh, Ohaka, Bangladesh

    Michael L. Bennish

  3. Departments of Pediatrics and Medicine Division of Geographic Medicine and Infectious Diseases, New England Medical Center Hospitals, Boston, Massachusetts, 02111, USA

    Michael L. Bennish

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  1. Gerald T. Keusch
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  1. Yale University School of Medicine, New Haven, Connecticut, USA

    Alfred S. Evans (John Rodman Paul Professor of Epidemiology, Emeritus) (John Rodman Paul Professor of Epidemiology, Emeritus)

  2. Emory University School of Public Health, Atlanta, Georgia, USA

    Philip S. Brachman

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Keusch, G.T., Bennish, M.L. (1991). Shigellosis. In: Evans, A.S., Brachman, P.S. (eds) Bacterial Infections of Humans. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1211-7_29

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