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[Neonatal shigellosis]

M Mokhtari1, E Gourrier, A el Hanache

  • 1Unité de Réanimation Pédiatrique Polyvalente, Hôpital Saint-Vincent-de-Paul, Paris.

Archives Francaises De Pediatrie
|June 1, 1993
PubMed
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Neonatal shigellosis is a rare condition presenting with fever, shock, and rash. This case highlights the diagnostic challenges and the unusual occurrence of cutaneous manifestations in a neonate with Shigella flexneri infection.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Neonatology

Background:

  • Neonatal shigellosis is a rare bacterial infection, often associated with unsanitary conditions.
  • It can lead to severe manifestations, including bacteremia, septic shock, and rash.

Observation:

  • A newborn presented with fever, abdominal distension, hepatomegaly, and bloody diarrhea within hours of birth.
  • The infant developed shock, requiring intensive care, and later exhibited a generalized rash with severe thrombocytopenia.

Findings:

  • Stool cultures confirmed Shigella flexneri infection.
  • Blood cultures were negative, and the rash, a rare neonatal presentation, appeared alongside critical thrombocytopenia.

Implications:

Related Experiment Videos

  • This case underscores the diagnostic difficulties of neonatal shigellosis.
  • The presence of cutaneous manifestations in a neonate with Shigella infection is unusual and warrants further investigation for potential bacteremia.