Shigella

From IDWiki
Shigella

Background

Clinical Manifestations

Post-Infectious Complications

Diagnosis

  • Molecular testing with PCR of stool is the most common method of diagnosing diarrheal illness
  • Culture of stool or rectal swab
    • Mass spectrometry cannot reliably differentiate from Escherichia coli, so needs biochemical identification

Management

  • Supportive care and oral rehydration
  • Avoid antidiarrheal or antimotility agents, which can prolong the clinical course and increase risk of severe disease
  • If severe disease or immunocompromised, should be treated empirically with antimicrobials