Pneumonia Caused by Shigella sonnei in Man Returned from India

摘要

To the Editor: Shigellosis is a cause of infectious dysentery frequent-ly occurring in developing countries yet usually associated with diarrhea in travelers from regions where Shigella infections are endemic. Shigella spp. are usually spread directly from per-son to person by the fecal–oral route or indirectly by fecal contamination of food or water with ingestion of feces contaminated food or water (1). Aside from clinical intestinal manifestations, shigellosis causes a wide variety of ex-traintestinal signs, such as bacteremia or neurologic manifestations (2).Pneumonia is an atypical but po-tential complication of shigellosis. In developing countries, Shigella sonnei and S. . exneri infections were report-ed to cause acute pneumonia in mal-nourished infants and, in these cases, were associated with severe prognosis and a death rate of 14% (3).