Shigellosis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-In-Chief: Yazan Daaboul; Serge Korjian

Overview

Symptoms may range from mild abdominal discomfort to severe colicky, diffuse abdominal pain. Patients commonly have small volume diarrhea that precedes dysentery. The majority of patients report mucoid diarrhea, and up to 50% of patients report bloody diarrhea. Other common symptoms include fever, nausea and vomiting, and tenesmus.

History and Symptoms

Common Symptoms

• Colicky diffuse abdominal pain (70 to 90%)
• Small volume diarrhea: Mucoid (70% to 80%) and/or bloody (30% to 50%)
• Fever (25 to 40%)
• Nausea and vomiting (35%)
• Tenesmus
• Fecal incontinence
• Urgency
• Anorexia
• Headache
• Lethargy

Rare Symptoms

• Oliguria
• Anuria
• Seizures
• Delirium
• Meningismus
• Obtundation
• Coma