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Shigella sepsis

B Duncan, V A Fulginiti, O F Sieber

    American Journal of Diseases of Children (1960)
    |February 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Shigella infections can lead to bacteremia (bacteria in the bloodstream) in children, a rare but serious complication. Early identification of risk factors like dehydration and malnutrition can improve patient management.

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    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Microbiology

    Background:

    • Bacteremia is considered rare in pediatric Shigella enteritis.
    • Shigella infections are a significant cause of childhood diarrhea globally.

    Purpose of the Study:

    • To determine the incidence of Shigella bacteremia in hospitalized children.
    • To identify clinical characteristics associated with poor prognosis in Shigella enteritis.

    Main Methods:

    • Retrospective analysis of 110 children with Shigella enteritis admitted over five years.
    • Evaluation of clinical data, including fever, hydration status, nutritional markers, antibiotic resistance, white blood cell count, and stool characteristics.

    Main Results:

    • Eight children (7%) developed Shigella bacteremia/septicemia.

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  • Four of the eight children with bacteremia died.
  • Risk factors for severe outcomes included being afebrile, >10% dehydration, malnutrition (low serum albumin), infection with ampicillin-resistant strains, leukopenia, and persistent watery, hemoglobin-positive stools.

    • Conclusions:

    • Shigella bacteremia occurs more frequently than previously believed in pediatric enteritis.
    • Several early clinical indicators can identify high-risk patients needing closer monitoring and management.