Volume 6, Issue 4, December 2020, Page: 52-55
Shigillosis with Acute Appendicitis and Peritonitis: A Case Report
Raihane Bahri, Faculty of Medicine and Pharmacy, University of Cadi Ayyad, Marrakesh, Morocco; Department of Microbiology, University Hospital Center Mohamed VI, Marrakesh, Morocco
Hajar Saffour, Faculty of Medicine and Pharmacy, University of Cadi Ayyad, Marrakesh, Morocco; Department of Microbiology, University Hospital Center Mohamed VI, Marrakesh, Morocco
Fadoua Elfarssani, Faculty of Medicine and Pharmacy, University of Cadi Ayyad, Marrakesh, Morocco; Department of Microbiology, University Hospital Center Mohamed VI, Marrakesh, Morocco
Saida Eddyb, Faculty of Medicine and Pharmacy, University of Cadi Ayyad, Marrakesh, Morocco; Department of Microbiology, University Hospital Center Mohamed VI, Marrakesh, Morocco
Asma Amrani, Faculty of Medicine and Pharmacy, University of Cadi Ayyad, Marrakesh, Morocco; Department of Microbiology, University Hospital Center Mohamed VI, Marrakesh, Morocco
Mohamed Oulad Siad, Faculty of Medicine and Pharmacy, University of Cadi Ayyad, Marrakesh, Morocco; Department of Infant Surgery, University Hospital Center Mohamed VI, Marrakesh, Morocco
Nabila Soraa, Faculty of Medicine and Pharmacy, University of Cadi Ayyad, Marrakesh, Morocco; Department of Microbiology, University Hospital Center Mohamed VI, Marrakesh, Morocco
Received: Sep. 15, 2020;       Accepted: Oct. 17, 2020;       Published: Nov. 4, 2020
DOI: 10.11648/j.fem.20200604.11      View  38      Downloads  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.
Keywords
Shigella Sonnei, Acute Appendicitis, Peritonitis, Surgical Complication
To cite this article
Raihane Bahri, Hajar Saffour, Fadoua Elfarssani, Saida Eddyb, Asma Amrani, Mohamed Oulad Siad, Nabila Soraa, Shigillosis with Acute Appendicitis and Peritonitis: A Case Report, Frontiers in Environmental Microbiology. Vol. 6, No. 4, 2020, pp. 52-55. doi: 10.11648/j.fem.20200604.11
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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