Shigella sonnei Bacteremia Presenting with Profound Hepatic Dysfunction
Joint Authors
Donato, Anthony
Shogbesan, Oluwaseun
Abdulkareem, Abdullateef
Rettew, Andrew
Shaikh, Bilal
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-23
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Worldwide, Shigellosis is a significant public health issue, associated with nearly one million deaths annually.
About half a million cases of Shigella infection are reported annually in the United States.
Shigella bacteremia is uncommon and generally seen in children and immunocompromised adults.
We present a case of a Shigella sonnei bacteremia with marked hepatic derangement in a 27-year-old previously healthy homosexual male with history of Roux-en-Y gastric bypass, who presented to the emergency room with a 4-day history of loose watery stool, abdominal cramps, nausea and vomiting, and yellow skin of 2-day duration.
He reports similar diarrhea illness in two close contacts in preceding days.
On examination, he was fully oriented but dehydrated, icteric, and febrile.
Laboratory data revealed WBC of 2200/μL, elevated AST and ALT (201 IU/L, 73 IU/L resp.), normal alkaline phosphatase, elevated total and direct bilirubin of 8.2 mg/dL and 4.4 mg/dL, albumin of 3.2 g/dL, INR of 2.9, prothrombin time of 31.7, and platelet of 96,000/μL.
Workup for infectious, autoimmune and medication-induced hepatitis, Wilson’s disease, and hemochromatosis was negative.
Abdominal ultrasound and computed tomography of the abdomen showed hepatic steatosis and right-sided colitis.
Stool and blood cultures were positive for Shigella sonnei.
He was treated with ciprofloxacin with improvement in liver function.
Follow-up blood test 4 months later was within normal limits.
American Psychological Association (APA)
Shogbesan, Oluwaseun& Rettew, Andrew& Shaikh, Bilal& Abdulkareem, Abdullateef& Donato, Anthony. 2017. Shigella sonnei Bacteremia Presenting with Profound Hepatic Dysfunction. Case Reports in Gastrointestinal Medicine،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1145587
Modern Language Association (MLA)
Shogbesan, Oluwaseun…[et al.]. Shigella sonnei Bacteremia Presenting with Profound Hepatic Dysfunction. Case Reports in Gastrointestinal Medicine No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1145587
American Medical Association (AMA)
Shogbesan, Oluwaseun& Rettew, Andrew& Shaikh, Bilal& Abdulkareem, Abdullateef& Donato, Anthony. Shigella sonnei Bacteremia Presenting with Profound Hepatic Dysfunction. Case Reports in Gastrointestinal Medicine. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1145587
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145587