Shigellosis history and symptoms

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

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.

• 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

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

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