shigella enteritis…

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digestive system, digestive system organs, shigellosis, shigella gastroenteritis, shigella enteritis, acute infection, the lining, the small intestine, 1 of 4 different strains, the shigella bacteria, outbreaks of shigella enteritis, poor sanitation, inadequate water supplies, contaminated food, crowded living conditions, fly-infested environments, shigella enteritis is common among travelers in developing countries, workers, residents of reservations, refugee camps, similar institutions, incubation period is 1 to 7 days, an average of 3 days, uncommon in adults, neurologic symptoms, develop in children, 40% of children, severe shigella enteritis, febrile seizures, headache, lethargy, confusion, stiff neck resembling meningitis, nuchal rigidity, 000 cases of shigella enteritis per year, in the us, acute abdominal pain, cramping, tenesmus, crampy rectal pain, watery diarrhea, nausea, vomiting, acute fever, blood, mucus, pus in stool, dehydration, fast heart rate, low blood pressure, abdominal tenderness, elevated white blood cell count, stool culture, white blood cells in stool, natural course, the disease is 2-3 days, objective of treatment, replace fluids, electrolytes, salt, minerals, lost in diarrhea, antidiarrheal medications, generally not given, prolong the course, self-care measures to avoid dehydration include drinking electrolyte solutions to replace the fluids lost by diarrhea, several varieties of electrolyte solutions, available over the counter, antibiotics indicated, patients, severe symptoms, sulfamethoxazole-trimethoprim, bactrim, ampicillin, ciprofloxacin, cipro, chloramphenicol, chloromycetin, frequently used, diarrhea who, unable to take fluids by mouth, nausea, need medical attention, intravenous fluids, small children, people taking diuretics, cautious, they develop diarrhea, directed by the provider to stop taking the diuretic, acute episode, the infection is mild, self-limited, prognosis is excellent except among malnourished, immunocompromised children, severe dehydration, neurologic symptoms, seizures, in children, hemolytic-uremic syndrome, hus, a form of kidney failure, anemia, clotting problems, reiter's syndrome, involves eye pain, redness, joint pain, pain, urination, diarrhea, does not improve, blood is noted, in the stool, dehydration seems to be developing, seizures occur, confusion, lethargy, headache, stiff neck, similar symptoms develop, shigella enteritis, most common in children, proper handling, storage, preparation of food, good sanitation, principles of prevention, hand washing, most effective preventive measure.