Shigellosis is a form of bacterial diarrhea caused by gram-negative bacteria Shigella species. It is common in developing countries and results from contaminated food, poor sanitation conditions, or direct person to person contact. Shigella can cause infection in all age groups. High-risk group include very young, elderly, and immunocompromised person. Shigella species is relatively resistant to acid in the stomach, and few organisms are required to cause the disease. Once ingested, it multiplies in the small intestine and enters the colon. In the colon, it produces shigella enterotoxins and serotype toxin 1, resulting in watery or bloody diarrhea. Clinical presentation of shigellosis may vary over a wide spectrum from mild diarrhea to severe dysentery. We report the case of 7 years old previously healthy boy, who presented to our hospital with abdominal pain, vomiting, and constipation. On examination, we noticed abdominal tenderness with guarding at the right lower quadrant. With the diagnosis of acute appendicitis, open appendectomy was performed. Exploration of the abdominal cavity revealed perforated appendicitis and generalized peritonitis. Shigella sonnei was isolated from the peritoneal fluid culture. The patient completely recovered without any complications. Surgical complications, including appendicitis, could have developed during shigellosis. There are few reported cases of perforated appendicitis associated with Shigella. Prompt surgical intervention can be beneficial to prevent morbidity and mortality if it is performed early in the course of the disease.
| Published in | Frontiers in Environmental Microbiology (Volume 6, Issue 4) |
| DOI | 10.11648/j.fem.20200604.11 |
| Page(s) | 52-55 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2020. Published by Science Publishing Group |
Shigella Sonnei, Acute Appendicitis, Peritonitis, Surgical Complication
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APA Style
Raihane Bahri, Hajar Saffour, Fadoua Elfarssani, Saida Eddyb, Asma Amrani, et al. (2020). Shigillosis with Acute Appendicitis and Peritonitis: A Case Report. Frontiers in Environmental Microbiology, 6(4), 52-55. https://doi.org/10.11648/j.fem.20200604.11
ACS Style
Raihane Bahri; Hajar Saffour; Fadoua Elfarssani; Saida Eddyb; Asma Amrani, et al. Shigillosis with Acute Appendicitis and Peritonitis: A Case Report. Front. Environ. Microbiol. 2020, 6(4), 52-55. doi: 10.11648/j.fem.20200604.11
AMA Style
Raihane Bahri, Hajar Saffour, Fadoua Elfarssani, Saida Eddyb, Asma Amrani, et al. Shigillosis with Acute Appendicitis and Peritonitis: A Case Report. Front Environ Microbiol. 2020;6(4):52-55. doi: 10.11648/j.fem.20200604.11
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Download@article{10.11648/j.fem.20200604.11,
author = {Raihane Bahri and Hajar Saffour and Fadoua Elfarssani and Saida Eddyb and Asma Amrani and Mohamed Oulad Siad and Nabila Soraa},
title = {Shigillosis with Acute Appendicitis and Peritonitis: A Case Report},
journal = {Frontiers in Environmental Microbiology},
volume = {6},
number = {4},
pages = {52-55},
doi = {10.11648/j.fem.20200604.11},
url = {https://doi.org/10.11648/j.fem.20200604.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.fem.20200604.11},
abstract = {Shigellosis is a form of bacterial diarrhea caused by gram-negative bacteria Shigella species. It is common in developing countries and results from contaminated food, poor sanitation conditions, or direct person to person contact. Shigella can cause infection in all age groups. High-risk group include very young, elderly, and immunocompromised person. Shigella species is relatively resistant to acid in the stomach, and few organisms are required to cause the disease. Once ingested, it multiplies in the small intestine and enters the colon. In the colon, it produces shigella enterotoxins and serotype toxin 1, resulting in watery or bloody diarrhea. Clinical presentation of shigellosis may vary over a wide spectrum from mild diarrhea to severe dysentery. We report the case of 7 years old previously healthy boy, who presented to our hospital with abdominal pain, vomiting, and constipation. On examination, we noticed abdominal tenderness with guarding at the right lower quadrant. With the diagnosis of acute appendicitis, open appendectomy was performed. Exploration of the abdominal cavity revealed perforated appendicitis and generalized peritonitis. Shigella sonnei was isolated from the peritoneal fluid culture. The patient completely recovered without any complications. Surgical complications, including appendicitis, could have developed during shigellosis. There are few reported cases of perforated appendicitis associated with Shigella. Prompt surgical intervention can be beneficial to prevent morbidity and mortality if it is performed early in the course of the disease.},
year = {2020}
}
TY - JOUR T1 - Shigillosis with Acute Appendicitis and Peritonitis: A Case Report AU - Raihane Bahri AU - Hajar Saffour AU - Fadoua Elfarssani AU - Saida Eddyb AU - Asma Amrani AU - Mohamed Oulad Siad AU - Nabila Soraa Y1 - 2020/11/04 PY - 2020 N1 - https://doi.org/10.11648/j.fem.20200604.11 DO - 10.11648/j.fem.20200604.11 T2 - Frontiers in Environmental Microbiology JF - Frontiers in Environmental Microbiology JO - Frontiers in Environmental Microbiology SP - 52 EP - 55 PB - Science Publishing Group SN - 2469-8067 UR - https://doi.org/10.11648/j.fem.20200604.11 AB - Shigellosis is a form of bacterial diarrhea caused by gram-negative bacteria Shigella species. It is common in developing countries and results from contaminated food, poor sanitation conditions, or direct person to person contact. Shigella can cause infection in all age groups. High-risk group include very young, elderly, and immunocompromised person. Shigella species is relatively resistant to acid in the stomach, and few organisms are required to cause the disease. Once ingested, it multiplies in the small intestine and enters the colon. In the colon, it produces shigella enterotoxins and serotype toxin 1, resulting in watery or bloody diarrhea. Clinical presentation of shigellosis may vary over a wide spectrum from mild diarrhea to severe dysentery. We report the case of 7 years old previously healthy boy, who presented to our hospital with abdominal pain, vomiting, and constipation. On examination, we noticed abdominal tenderness with guarding at the right lower quadrant. With the diagnosis of acute appendicitis, open appendectomy was performed. Exploration of the abdominal cavity revealed perforated appendicitis and generalized peritonitis. Shigella sonnei was isolated from the peritoneal fluid culture. The patient completely recovered without any complications. Surgical complications, including appendicitis, could have developed during shigellosis. There are few reported cases of perforated appendicitis associated with Shigella. Prompt surgical intervention can be beneficial to prevent morbidity and mortality if it is performed early in the course of the disease. VL - 6 IS - 4 ER -
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