Shigella Bacteremia in a Patient with Visceral Leishmaniasis

Bacteremia due to Shigella is rare. A 26-year-old HIV-negative male presented with a persistent high-grade fever of two months duration to the Leishmaniasis Research and Treatment Center of University of Gondar Hospital. He was anorexic and had lost significant weight (from 76 to 57 kg in 4 months,...

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Main Authors: Mengistu Endris, Rezika Mohammed, Yegnasew Takele, Desalegn Woldeyohannes, Moges Tiruneh, Ermias Diro
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2013/920729
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author Mengistu Endris
Rezika Mohammed
Yegnasew Takele
Desalegn Woldeyohannes
Moges Tiruneh
Ermias Diro
author_facet Mengistu Endris
Rezika Mohammed
Yegnasew Takele
Desalegn Woldeyohannes
Moges Tiruneh
Ermias Diro
author_sort Mengistu Endris
collection DOAJ
description Bacteremia due to Shigella is rare. A 26-year-old HIV-negative male presented with a persistent high-grade fever of two months duration to the Leishmaniasis Research and Treatment Center of University of Gondar Hospital. He was anorexic and had lost significant weight (from 76 to 57 kg in 4 months, BMI = 17.2 kg/m2). He also complained of headache, chills, and rigor. In the last one year, he was experiencing a few episodes of acute bloody diarrhea, the last episode being two months ago. Microscopy from splenic aspiration showed Leishman-Donovan bodies with parasite load of +3. The blood culture showed Shigella species, but the stool was culture negative. The isolate was sensitive to most tested antibiotic discs, sulfamethoxazole, ceftriaxone, gentamicin, tetracycline, and norfloxacilin, except ampicillin. Therefore, requesting blood culture for identifying unexpected type of organisms causing infections in patients with underlying diseases like visceral leishmaniasis should be encouraged.
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language English
publishDate 2013-01-01
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series Case Reports in Critical Care
spelling doaj-art-64519c48e9e649dda3beb92b690d49d52025-08-20T02:23:52ZengWileyCase Reports in Critical Care2090-64202090-64392013-01-01201310.1155/2013/920729920729Shigella Bacteremia in a Patient with Visceral LeishmaniasisMengistu Endris0Rezika Mohammed1Yegnasew Takele2Desalegn Woldeyohannes3Moges Tiruneh4Ermias Diro5School of Biomedical and Laboratory Sciences, University of Gondar, P.O. Box 196, Gondar, EthiopiaLeishmanaisis Research and Treatment Center, University of Gondar, P.O. Box 196, Gondar, EthiopiaLeishmanaisis Research and Treatment Center, University of Gondar, P.O. Box 196, Gondar, EthiopiaSchool of Biomedical and Laboratory Sciences, University of Gondar, P.O. Box 196, Gondar, EthiopiaSchool of Biomedical and Laboratory Sciences, University of Gondar, P.O. Box 196, Gondar, EthiopiaDepartment of Internal Medicine, University of Gondar, P.O. Box 196, Gondar, EthiopiaBacteremia due to Shigella is rare. A 26-year-old HIV-negative male presented with a persistent high-grade fever of two months duration to the Leishmaniasis Research and Treatment Center of University of Gondar Hospital. He was anorexic and had lost significant weight (from 76 to 57 kg in 4 months, BMI = 17.2 kg/m2). He also complained of headache, chills, and rigor. In the last one year, he was experiencing a few episodes of acute bloody diarrhea, the last episode being two months ago. Microscopy from splenic aspiration showed Leishman-Donovan bodies with parasite load of +3. The blood culture showed Shigella species, but the stool was culture negative. The isolate was sensitive to most tested antibiotic discs, sulfamethoxazole, ceftriaxone, gentamicin, tetracycline, and norfloxacilin, except ampicillin. Therefore, requesting blood culture for identifying unexpected type of organisms causing infections in patients with underlying diseases like visceral leishmaniasis should be encouraged.http://dx.doi.org/10.1155/2013/920729
spellingShingle Mengistu Endris
Rezika Mohammed
Yegnasew Takele
Desalegn Woldeyohannes
Moges Tiruneh
Ermias Diro
Shigella Bacteremia in a Patient with Visceral Leishmaniasis
Case Reports in Critical Care
title Shigella Bacteremia in a Patient with Visceral Leishmaniasis
title_full Shigella Bacteremia in a Patient with Visceral Leishmaniasis
title_fullStr Shigella Bacteremia in a Patient with Visceral Leishmaniasis
title_full_unstemmed Shigella Bacteremia in a Patient with Visceral Leishmaniasis
title_short Shigella Bacteremia in a Patient with Visceral Leishmaniasis
title_sort shigella bacteremia in a patient with visceral leishmaniasis
url http://dx.doi.org/10.1155/2013/920729
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AT desalegnwoldeyohannes shigellabacteremiainapatientwithvisceralleishmaniasis
AT mogestiruneh shigellabacteremiainapatientwithvisceralleishmaniasis
AT ermiasdiro shigellabacteremiainapatientwithvisceralleishmaniasis