Shigella gastroenteritis; Shigella enteritis; Enteritis - shigella; Gastroenteritis - shigella
The symptoms usually last 2 to 7 days. The goal of treatment is to replace fluids and
Medications that stop diarrhea are generally not given because they may prolong the course of the disease.
Self-care measures to avoid
Antibiotics can help shorten the length of the illness and help prevent it from spreading to others in group living or day care situations. They may also be prescribed for patients with severe symptoms. Frequently used antibiotics include sulfamethoxazole and trimethoprim (Bactrim), ampicillin, ciprofloxacin (Cipro), or azithromycin.
Persons with diarrhea who cannot drink fluids by mouth because of nausea may need medical attention and fluids through a vein (
Persons who take diuretics ("water pills") may need to stop taking such medicines if they have
Often the infection is mild and goes away on its own. Most patients, except malnourished children and those with weakened immune systems, have an excellent outlook.
Complications may include:
- Dehydration - severe
Hemolytic-uremic syndrome(HUS), a form of kidney failure with anemia and clotting problems
Up to 40% of children with severe shigella enteritis develop neurological problems including
Calling your health care provider
Call your provider if diarrhea does not improve, if there is blood in the stool, or if there are signs of dehydration.
Go to the emergency room if the following occur in a person with shigellosis:
- Headache with stiff neck
Such symptoms are most common in children.