Shigellosis natural history, complications and prognosis: Difference between revisions
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[[Reiter's syndrome]] is a late complication of ''S. flexneri'' infection, especially in persons with the genetic marker HLA-B27. [[Hemolytic-uremic syndrome]] can occur after ''S. dysenteriae'' type 1 infection. [[Convulsions]] may occur in children; the mechanism may be related to a rapid rate of temperature elevation or metabolic alterations | [[Reiter's syndrome]] is a late complication of ''S. flexneri'' infection, especially in persons with the genetic marker HLA-B27. [[Hemolytic-uremic syndrome]] can occur after ''S. dysenteriae'' type 1 infection. [[Convulsions]] may occur in children; the mechanism may be related to a rapid rate of temperature elevation or metabolic alterations | ||
<ref>http://www.cdc.gov/ncidod/dbmd/diseaseinfo/shigellosis_t.htm </ref> | <ref>http://www.cdc.gov/ncidod/dbmd/diseaseinfo/shigellosis_t.htm </ref> | ||
* Intestinal Complications (Rare) | |||
*:* [[Rectal prolapse]], [[proctitis]] | |||
*:* [[Toxic Megacolon]] | |||
*:* [[Colonic Perforation]] | |||
* Systemic Complications | |||
*:* [[Bacteremia]] ([[gram-negative]] rod's (GNR’s), not just [[Shigella]]) | |||
*:* [[Hyponatremia]] ([[syndrome of inappropriate antidiuretic hormone]] secretion ([[SIADH]]) | |||
*:* [[Leukemoid Reactions]] | |||
*:* [[Seizure]] | |||
*:* [[Reactive Arthritis]] | |||
* [[Hemolytic Uremic Syndrome]] | |||
*:* MAHA ([[microangiopathic hemolytic anemia]]) | |||
*:* [[Thrombocytopenia]] | |||
*:* [[Acute Renal Failure]]<ref>http://www.cdc.gov/ncidod/dbmd/diseaseinfo/shigellosis_t.htm </ref><ref>http://www.cdc.gov/ncidod/dbmd/diseaseinfo/shigellosis_g.htm </ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 15:01, 21 November 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Complications
Reiter's syndrome is a late complication of S. flexneri infection, especially in persons with the genetic marker HLA-B27. Hemolytic-uremic syndrome can occur after S. dysenteriae type 1 infection. Convulsions may occur in children; the mechanism may be related to a rapid rate of temperature elevation or metabolic alterations [1]
- Intestinal Complications (Rare)
- Systemic Complications
- Bacteremia (gram-negative rod's (GNR’s), not just Shigella)
- Hyponatremia (syndrome of inappropriate antidiuretic hormone secretion (SIADH)
- Leukemoid Reactions
- Seizure
- Reactive Arthritis
- Hemolytic Uremic Syndrome