Which physical findings are characteristic of Shigella infection?

Updated: Apr 03, 2018
  • Author: Jaya Sureshbabu, MBBS, MRCPCH(UK), MRCPI(Paeds), MRCPS(Glasg), DCH(Glasg); Chief Editor: Russell W Steele, MD  more...
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Answer

See the list below:

  • Physical examination during acute illness reveals a febrile ill-appearing child. Fever with a temperature as high as 39-40 º C may be noted.

  • The patient's hydration status should be carefully assessed. Especially note dryness of the oral mucosa, lack of tears, decreased urine output, and loss of skin turgor.

  • Abdominal examination may reveal generalized mild-to-moderate tenderness with no guarding or rigidity.

  • In a child who presents with febrile seizures, careful neurologic examination is mandatory to exclude meningitis.


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