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Case Reports in Critical Care
Volume 2013 (2013), Article ID 920729, 3 pages
http://dx.doi.org/10.1155/2013/920729
Case Report

Shigella Bacteremia in a Patient with Visceral Leishmaniasis

1School of Biomedical and Laboratory Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia
2Leishmanaisis Research and Treatment Center, University of Gondar, P.O. Box 196, Gondar, Ethiopia
3Department of Internal Medicine, University of Gondar, P.O. Box 196, Gondar, Ethiopia
4Institute of Tropical Medicine, Antwerp, Belgium

Received 30 June 2013; Accepted 24 July 2013

Academic Editors: C. Lazzeri, K. Lenz, and G. Pichler

Copyright © 2013 Mengistu Endris et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bacteremia due to Shigella is rare. A 26-year-old HIV-negative male presented with a persistent high-grade fever of two months duration to the Leishmaniasis Research and Treatment Center of University of Gondar Hospital. He was anorexic and had lost significant weight (from 76 to 57 kg in 4 months, BMI = 17.2 kg/m2). He also complained of headache, chills, and rigor. In the last one year, he was experiencing a few episodes of acute bloody diarrhea, the last episode being two months ago. Microscopy from splenic aspiration showed Leishman-Donovan bodies with parasite load of +3. The blood culture showed Shigella species, but the stool was culture negative. The isolate was sensitive to most tested antibiotic discs, sulfamethoxazole, ceftriaxone, gentamicin, tetracycline, and norfloxacilin, except ampicillin. Therefore, requesting blood culture for identifying unexpected type of organisms causing infections in patients with underlying diseases like visceral leishmaniasis should be encouraged.