Se presenta un caso raro de
sepsis por
Shigella flexneri en una
paciente de 45 años de edad quien estando hospitalizada para el estudio de un
tumor cerebral, requirió el uso de
manitol y
dosis altas de
corticoides; luego de ello presenta deposiciones líquidas con
moco y
sangre, desarrolla
síndrome de respuesta inflamatoria sistémica, luego se aísla
Shigella flexneri en el
hemocultivo; recibió
tratamiento antibiótico con
ciprofloxacina. Se describen las características del caso y se comenta de acuerdo con la
revisión de
literatura.
An unusual case of
sepsis caused by
Shigella flexneri in a 45-year old
female patient is presented. While being hospitalized for diagnostic management of a
brain tumor, she required
mannitol and high-
dose steroids; she had liquidand dysenteric stools, and soon afterwards she developed a
systemic inflammatory response syndrome.
Shigella flexneri was isolated in the
blood culture, and she was treated with
ciprofloxacin. The case features are described and comments are presented, together with a
review of the
literature.