Shigellosis (bacillary dysentery) 1

General: Caused by Shigella; frequently passed through food 959d32j and via food handlers; more commonly seen in countries with poor sanitation; evidence suggests that the ability of shigellae to invade and multiply within the corneal epithelium is similar to the invasion in the intestinal epithelium.

Ocular: Scleroconjunctivitis; severe uveitis; conjunctival xerosis.

Clinical: Fever; abdominal pain; diarrhea; intestinal perforation; toxic megacolon; dehydration; there has been one case reported of an association with the Klver-Bucy syndrome.

Bennish ML. Potentially lethal complications of shigellosis. Rev Infect Dis 1991; 13[Suppl 4]:S319-S324.

Kaslow RA, et al. Search for Reiter's Syndrome after an outbreak of Shigella sonnei dysentery. J Rheumatol 1979; 6:562-566.

Overton ME, et al. Conjunctivitis and ethmoiditis due to Shigella flexneri in an infant. Clin Pediatr 1981; 20:231.

Ronen S, et al. Orbital inflammation: an unusual extraintestinal complication of shigellosis. Ophthalmologica 1980; 180:46-50.

Yoshikawa M, Sasakawa C. Molecular pathogenesis of shigellosis: a review. Microbiol Immunol 1991; 35:809-824.