Polymicrobial and recurrent bacteremia with Shigella in a patient with AIDS.

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  • Author(s): Kristjánsson M;Kristjánsson M; Viner B; Maslow JN
  • Source:
    Scandinavian journal of infectious diseases [Scand J Infect Dis] 1994; Vol. 26 (4), pp. 411-6.
  • Publication Type:
    Case Reports; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 0215333 Publication Model: Print Cited Medium: Print ISSN: 0036-5548 (Print) Linking ISSN: 00365548 NLM ISO Abbreviation: Scand J Infect Dis Subsets: MEDLINE
    • Publication Information:
      Publication: 2007-2014 : London : Informa Healthcare
      Original Publication: Stockholm, Society for the Publication of Acta medica Scandinavica.
    • Subject Terms:
      HIV-1*; Acquired Immunodeficiency Syndrome/*complications ; Bacteremia/*microbiology ; Dysentery, Bacillary/*microbiology ; Shigella boydii/*isolation & purification ; Shigella flexneri/*isolation & purification; Adult ; Bacteremia/complications ; Dysentery, Bacillary/complications ; HIV Seropositivity/complications ; Humans ; Male ; Recurrence
    • Abstract:
      Shigella gastroenteritis is uncommon among HIV seropositive patients and may be complicated in some patients by bacteremia; S. flexneri being the most frequently detected serogroup. While recurrent Salmonella bacteremia is common among HIV-seropositive patients, recurrent Shigella bacteremia is not. We report here an HIV-seropositive patient with Shigella gastroenteritis, polymicrobial bacteremia due to S. flexneri and S. boydii, and recurrent gastroenteritis and bacteremia with S. boydii. Relapsing infection with the same strain of S. boydii was determined using pulsed field gel electrophoresis. Thus, HIV-seropositive patients who develop Shigella infections may require prolonged treatment and/or suppressive therapy, similar to those infected with Salmonella. Patients who develop recurrent disease should be suspected as having polymicrobial bacteremia since the incidence of this may be underestimated among patients with AIDS, particularly those with concurrent gastroenteritis.
    • Comments:
      Comment in: Scand J Infect Dis. 2000;32(5):578. (PMID: 11055675)
    • Publication Date:
      Date Created: 19940101 Date Completed: 19950105 Latest Revision: 20190825
    • Publication Date:
      20231215
    • Accession Number:
      10.3109/00365549409008614
    • Accession Number:
      7984973