Shigella boydii Bacteremia in an Ederly Patient with No Underlying Disease / 대한임상미생물학회지
Annals of Clinical Microbiology
;
: 20-22, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-110396
ABSTRACT
Shigella bacteremia is rare, occurring mainly in children. Shigella species often cause diarrhea or gastrointestinal inflammation in humans and are rarely associated with bacteremia. This report describes an unusual case of Shigella boydii bacteremia in an 84-year-old patient visiting our hospital after experiencing nausea, vomiting, and febrile sensation for 2 days. Peripheral blood cultures revealed S. boydii and 16S rDNA sequence analysis produced the same result. However, the organism was not isolated from the patient's stool. She was started on ciprofloxacin, to which this organism is sensitive, and was subsequently discharged with instructions to complete a 14-day course of ciprofloxacin. Shigellosis is usually a self-limiting enteric disease. However, in contrast to its isolation from both blood and stool, isolation of the organism from blood only is associated with a high mortality rate. As is frequently pointed out, blood cultures should be obtained from elderly or immunocompromised patients with acute febrile gastroenteritis to detect infection caused by enteric pathogens, including Shigella.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Sensation
/
Shigella
/
Shigella boydii
/
Vomissement
/
ADN ribosomique
/
Ciprofloxacine
/
Mortalité
/
Sujet immunodéprimé
/
Bactériémie
/
Analyse de séquence
Type d'étude:
Étude pronostique
Limites du sujet:
Adulte très âgé
/
Aged80
/
Enfant
/
Humains
langue:
Anglais
Texte intégral:
Annals of Clinical Microbiology
Année:
2014
Type:
Article
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