Pneumonia complicating Shigella sonnei dysentery in an HIV-infected adult male.
An HIV-1-infected adult presented with a short history of dyspnoea, productive cough and myalgia with fever. Shortly after presentation, he developed the abrupt onset of high-volume watery diarrhoea: stool culture grew Shigella sonnei. At the same time, he became hypoxaemic, and thoracic imaging showed bilateral lower lobe consolidation/collapse. Culture of sputum and blood was negative. The patient recovered with fluid resuscitation and ciprofloxacin monotherapy. This is the first reported case of pneumonia complicating S. sonnei dysentery in an HIV-infected adult.
Miller
R F
RF
Centre for Sexual Health and HIV Research, Department of Population Sciences and Primary Care, Royal Free and University College Medical School, University College London. rmiller@gum.ucl.ac.uk
Symeonidou
C
C
Shaw
P J
PJ
D000328:Adult; D004405:Dysentery, Bacillary / Q000150:complications* / Q000382:microbiology; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D011014:Pneumonia / Q000150:complications*; D012764:Shigella sonnei