Fulminant toxic shigella encephalopathy

Bacillary dysentery due to Shigella is still one of the major causes of acute diarrhoeal disease, especially among children in the developing countries. Often, shigellosis is self-limiting and dose not pose a problem in the treatment of patients successfully. But occasionally, it may cause bacteremia or neurological complications which may be fatal. We report a case of fulminant encephalopathy caused by shigella dysenteriae type I, which has been described to produce an exotoxin which is a neurotoxin