title: Invasive shigellosis in MSM.
abstract: Shigella flexneri is an emerging pathogen in men who have sex with men (MSM); recent outbreaks related to sexual practices have been noted in this population in the UK and other developed countries. While the majority of cases of shigellosis present with gastroenteritis, some vulnerable patients with underlying immunosuppression can develop complications like bacteraemia and may present atypically as an acute surgical emergency. This case report highlights such a case of S. flexneri bacteraemia in a man who had sex with men.
authors.affiliation: Royal Free Hospitals, NHS Foundation Trust, London, UK robertserafinowani@nhs.net.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Serafino Wani
authors.affiliation: Royal Free Hospitals, NHS Foundation Trust, London, UK.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Filson
authors.affiliation: Gastrointestinal Bacteria Reference Unit, Public Health England, London, UK.
authors.forename: Marie A
authors.initials: MA
authors.lastname: Chattaway
authors.affiliation: Gastrointestinal Bacteria Reference Unit, Public Health England, London, UK.
authors.forename: Gauri
authors.initials: G
authors.lastname: Godbole
mesh_terms: D061605:Administration, Intravenous; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D004405:Dysentery, Bacillary / Q000175:diagnosis* / Q000188:drug therapy; D015658:HIV Infections / Q000150:complications* / Q000188:drug therapy; D018451:Homosexuality, Male; D006801:Humans; D007165:Immunosuppression Therapy; D008297:Male; D012763:Shigella flexneri / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D044966:Anti-Retroviral Agents; D002443:Ceftriaxone
keywords: HIV; MSM; Shigella; antibiotic; diagnosis; sexually transmitted infection; treatment