Fulminant Shigellosis in a HIV Patient

Abstract EN

Infectious enterocolitis caused by shigella is usually self-limiting and seldom requires antibiotics treatment.

It is uncommon to develop fulminant shigellosis requiring surgery.

We report a rare case of fulminant shigellosis in a HIV patient with recurring infection which could not be managed with intravenous antibiotics.

CT reviewed extensive colonic wall thickening and stranding with evidence of pneumatosis coli.

The patient eventually required a Hartmann procedure.

Although fulminant shigellosis is uncommon, thorough assessment and vigilant management are warranted in immunosuppressed patient.