title: Fulminant Shigellosis in a HIV Patient.
abstract: 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.
authors.affiliation: Liverpool Hospital, Elizabeth Street, Liverpool, NSW 2170, Australia.
authors.forename: Siang Mei Sally
authors.initials: SM
authors.lastname: Ooi
references.citation: Pediatr Infect Dis. 1986 Jan-Feb;5(1):103-4
references.pmid: 3511451
references.citation: J Infect Dis. 1990 May;161(5):961-5
references.pmid: 2324546
references.citation: Cochrane Database Syst Rev. 2009 Oct 07;(4):CD006784
references.pmid: 19821387
references.citation: J Infect Dis. 1989 Jun;159(6):1126-8
references.pmid: 2656880
references.citation: J Infect Dis. 1975 Jun;131(6):700-3
references.pmid: 1094073
references.citation: Rev Infect Dis. 1991 Mar-Apr;13 Suppl 4:S314-8
references.pmid: 2047656
references.citation: Clin Infect Dis. 2007 Feb 1;44(3):327-34
references.pmid: 17205436
references.citation: Rev Infect Dis. 1991 Mar-Apr;13 Suppl 4:S319-24
references.pmid: 2047657
references.citation: Pediatr Infect Dis. 1983 Jan-Feb;2(1):21-6
references.pmid: 6340078