A Pediatric Cluster of Shigella dysenteriae Serotype 1 Diarrhea with Hemolytic Uremic Syndrome in 2 Families from France
Author(s) -
Véronique Houdouin,
D. Catherine,
Pier Paolo Mariani,
N. Brahimi,
Chantal Loirat,
A Bourrillon,
Édouard Bingen
Publication year - 2004
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/383474
Subject(s) - shigella dysenteriae , medicine , serotype , diarrhea , shigella , ribotyping , dysentery , cluster (spacecraft) , pediatrics , microbiology and biotechnology , virology , salmonella , bacteria , biology , polymerase chain reaction , escherichia coli , pathology , computer science , gene , programming language , biochemistry , genetics
We report a cluster of pediatric diarrhea due to Shigella dysenteriae serotype 1 involving 11 children in France, including the index case, who had returned from Senegal. Child-to-child transmission was documented by ribotyping. Five children developed hemolytic uremic syndrome (HUS). On the basis of our findings, the choice of antimicrobial treatment for infections with S. dysenteriae serotype 1 should take into account widespread drug resistance and the risk of HUS.
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