Abstract

AYALA TORALES, Santiago et al. Shock séptico por Shigella flexneri. Arch. argent. pediatr. [online]. 2006, vol.104, n.4, pp.351-353. ISSN 0325-0075.

Gastrointestinal infections by Shigella flexneri and the neurological compromise caused by its toxine are frequent in developping countries. Infections appearing out of the gastrointestinal tract are rare, specially in immunocompetent patients. Clinical case: A 4 year old girl was transferred to a pediatric intensive care unit because of a convulsive status with a history of mucous-bloody gastroenteritis and fever for 48 hours. She had been admitted to the emergency room with generalized tonic-clonic seizures and shock. The picture was assumed as septic shock, requiring mechanical respiratory assistance, expansions with crystaloids and inotropics. Cultures grew Shigella flexneri. The outcome was good. The patient stayed in the intensive care unit for 7 days and then was referred to a pediatric general ward, which she left on the 14th day after admission.

Keywords : Shigella flexneri; Septic shock; Immunocompetent host.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )