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Case Reports in Infectious Diseases
Volume 2015, Article ID 128104, 3 pages
http://dx.doi.org/10.1155/2015/128104
Case Report

Fulminant Shigellosis in a HIV Patient

Liverpool Hospital, Elizabeth Street, Liverpool, NSW 2170, Australia

Received 20 October 2014; Accepted 26 January 2015

Academic Editor: Alexandre R. Marra

Copyright © 2015 Siang Mei Sally Ooi. 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

Infectious enterocolitis caused by shigella is usually self-limiting and seldom requires antibiotics treatment. It is uncommon to develop fulminant shigellosis requiring surgery. We report a rare case of fulminant shigellosis in a HIV patient with recurring infection which could not be managed with intravenous antibiotics. CT reviewed extensive colonic wall thickening and stranding with evidence of pneumatosis coli. The patient eventually required a Hartmann procedure. Although fulminant shigellosis is uncommon, thorough assessment and vigilant management are warranted in immunosuppressed patient.