Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos
Bacteraemia due to Shigella flexneri serotype 6 in two patients with AIDS
Resumen:
Infections due to Shigella usually remain localized to the digestive tract and are self-limited. Bacteremia is a potentially lethal complication that can occur in immunocompromised patients. We describe two episodes of bacteremia caused by Shigella in two adults with AIDS. In both patients, S. flexneri was recovered from stool and blood samples. The isolates belonged to serotype 6, were resistant only to trimethoprim-sulfamethoxazole and showed a similar band profile by pulsed-field gel electrophoresis. Patients received prolonged antimicrobial treatment with a favorable outcome. There were no cases of diarrhea in other individuals admitted to the emergency room. We hypothesized that patient No. 2 was infected at the hospital from patient No. 1. However, we could not establish the way of transmission. Although rare, it is important to take into account the possible occurrence of bacteremia due to Shigella or other bacterial enteropathogens in immunocompromised patients with diarrhea.
| 2013 | |
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Bacteraemia Shigella flexneri AIDS pulsed-field gel electrophoresis Bacteriemia SIDA electroforesis en campo pulsado |
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| Español | |
| Universidad de la República | |
| COLIBRI | |
| https://hdl.handle.net/20.500.12008/52619 | |
| Acceso abierto | |
| Licencia Creative Commons Atribución - No Comercial (CC - By-NC 4.0) |
| _version_ | 1872865333191114752 |
|---|---|
| author | Hitateguy, Patricia |
| author2 | Caiata, Leticia Mota, María I. Bazet, Cristina Varela, Gustavo |
| author2_role | author author author author |
| author_facet | Hitateguy, Patricia Caiata, Leticia Mota, María I. Bazet, Cristina Varela, Gustavo |
| author_role | author |
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| collection | COLIBRI |
| dc.contributor.filiacion.none.fl_str_mv | Hitateguy Patricia, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología Caiata Leticia, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología Mota María I., Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología Bazet Cristina, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas "Dr. Manuel Quintela". Departamento Laboratorio de Patología Clínica Varela Gustavo, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología |
| dc.creator.none.fl_str_mv | Hitateguy, Patricia Caiata, Leticia Mota, María I. Bazet, Cristina Varela, Gustavo |
| dc.date.accessioned.none.fl_str_mv | 2025-11-24T15:59:52Z |
| dc.date.available.none.fl_str_mv | 2025-11-24T15:59:52Z |
| dc.date.issued.none.fl_str_mv | 2013 |
| dc.description.abstract.none.fl_txt_mv | Infections due to Shigella usually remain localized to the digestive tract and are self-limited. Bacteremia is a potentially lethal complication that can occur in immunocompromised patients. We describe two episodes of bacteremia caused by Shigella in two adults with AIDS. In both patients, S. flexneri was recovered from stool and blood samples. The isolates belonged to serotype 6, were resistant only to trimethoprim-sulfamethoxazole and showed a similar band profile by pulsed-field gel electrophoresis. Patients received prolonged antimicrobial treatment with a favorable outcome. There were no cases of diarrhea in other individuals admitted to the emergency room. We hypothesized that patient No. 2 was infected at the hospital from patient No. 1. However, we could not establish the way of transmission. Although rare, it is important to take into account the possible occurrence of bacteremia due to Shigella or other bacterial enteropathogens in immunocompromised patients with diarrhea. |
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| dc.identifier.citation.es.fl_str_mv | HITATEGUY, P., CAIATA, L., MOTA, MI., y otros. Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos. Rev Chilena Infectol [en línea] 2013, 30(1). DOI: 10.4067/S0716-10182013000100017 |
| dc.identifier.doi.none.fl_str_mv | 10.4067/S0716-10182013000100017 |
| dc.identifier.uri.none.fl_str_mv | https://hdl.handle.net/20.500.12008/52619 |
| dc.language.iso.none.fl_str_mv | es spa |
| dc.relation.none.fl_str_mv | Rev Chilena Infectol. 30(1), 2013 |
| dc.rights.license.none.fl_str_mv | Licencia Creative Commons Atribución - No Comercial (CC - By-NC 4.0) |
| dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | reponame:COLIBRI instname:Universidad de la República instacron:Universidad de la República |
| dc.subject.es.fl_str_mv | Bacteraemia Shigella flexneri AIDS pulsed-field gel electrophoresis Bacteriemia SIDA electroforesis en campo pulsado |
| dc.title.none.fl_str_mv | Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos Bacteraemia due to Shigella flexneri serotype 6 in two patients with AIDS |
| dc.type.es.fl_str_mv | Artículo |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article |
| dc.type.version.none.fl_str_mv | info:eu-repo/semantics/publishedVersion |
| description | Infections due to Shigella usually remain localized to the digestive tract and are self-limited. Bacteremia is a potentially lethal complication that can occur in immunocompromised patients. We describe two episodes of bacteremia caused by Shigella in two adults with AIDS. In both patients, S. flexneri was recovered from stool and blood samples. The isolates belonged to serotype 6, were resistant only to trimethoprim-sulfamethoxazole and showed a similar band profile by pulsed-field gel electrophoresis. Patients received prolonged antimicrobial treatment with a favorable outcome. There were no cases of diarrhea in other individuals admitted to the emergency room. We hypothesized that patient No. 2 was infected at the hospital from patient No. 1. However, we could not establish the way of transmission. Although rare, it is important to take into account the possible occurrence of bacteremia due to Shigella or other bacterial enteropathogens in immunocompromised patients with diarrhea. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | COLIBRI_a306271290bf4c69612409b681752410 |
| identifier_str_mv | HITATEGUY, P., CAIATA, L., MOTA, MI., y otros. Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos. Rev Chilena Infectol [en línea] 2013, 30(1). DOI: 10.4067/S0716-10182013000100017 10.4067/S0716-10182013000100017 |
| instacron_str | Universidad de la República |
| institution | Universidad de la República |
| instname_str | Universidad de la República |
| language | spa |
| language_invalid_str_mv | es |
| network_acronym_str | COLIBRI |
| network_name_str | COLIBRI |
| oai_identifier_str | oai:colibri.udelar.edu.uy:20.500.12008/52619 |
| publishDate | 2013 |
| reponame_str | COLIBRI |
| repository.mail.fl_str_mv | karina.camps@seciu.edu.uy |
| repository.name.fl_str_mv | COLIBRI - Universidad de la República |
| repository_id_str | 4771 |
| rights_invalid_str_mv | Licencia Creative Commons Atribución - No Comercial (CC - By-NC 4.0) |
| spelling | Hitateguy Patricia, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y VirologíaCaiata Leticia, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y VirologíaMota María I., Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y VirologíaBazet Cristina, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas "Dr. Manuel Quintela". Departamento Laboratorio de Patología ClínicaVarela Gustavo, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología2025-11-24T15:59:52Z2025-11-24T15:59:52Z2013HITATEGUY, P., CAIATA, L., MOTA, MI., y otros. Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos. Rev Chilena Infectol [en línea] 2013, 30(1). DOI: 10.4067/S0716-10182013000100017https://hdl.handle.net/20.500.12008/5261910.4067/S0716-10182013000100017Infections due to Shigella usually remain localized to the digestive tract and are self-limited. Bacteremia is a potentially lethal complication that can occur in immunocompromised patients. We describe two episodes of bacteremia caused by Shigella in two adults with AIDS. In both patients, S. flexneri was recovered from stool and blood samples. The isolates belonged to serotype 6, were resistant only to trimethoprim-sulfamethoxazole and showed a similar band profile by pulsed-field gel electrophoresis. Patients received prolonged antimicrobial treatment with a favorable outcome. There were no cases of diarrhea in other individuals admitted to the emergency room. We hypothesized that patient No. 2 was infected at the hospital from patient No. 1. However, we could not establish the way of transmission. Although rare, it is important to take into account the possible occurrence of bacteremia due to Shigella or other bacterial enteropathogens in immunocompromised patients with diarrhea.Submitted by Haller Mariana (mhaller@higiene.edu.uy) on 2025-11-19T15:00:20Z No. of bitstreams: 2 license_rdf: 26648 bytes, checksum: e9507f17d292a045f834ee111e4d098b (MD5) Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos.pdf: 4405908 bytes, checksum: d664279e9590c74ee94dc4811c959083 (MD5)Made available in DSpace by Luna Fabiana (fabiana.luna@seciu.edu.uy) on 2025-11-24T15:59:52Z (GMT). No. of bitstreams: 2 license_rdf: 26648 bytes, checksum: e9507f17d292a045f834ee111e4d098b (MD5) Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos.pdf: 4405908 bytes, checksum: d664279e9590c74ee94dc4811c959083 (MD5) Previous issue date: 2013application/pdfesspaRev Chilena Infectol. 30(1), 2013Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución - No Comercial (CC - By-NC 4.0)BacteraemiaShigella flexneriAIDSpulsed-field gel electrophoresisBacteriemiaSIDAelectroforesis en campo pulsadoBacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. 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públicahttps://udelar.edu.uy/https://www.colibri.udelar.edu.uy/oai/requestkarina.camps@seciu.edu.uyUruguayopendoar:47712025-11-24T15:59:52COLIBRI - Universidad de la Repúblicafalse |
| spellingShingle | Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos Hitateguy, Patricia Bacteraemia Shigella flexneri AIDS pulsed-field gel electrophoresis Bacteriemia SIDA electroforesis en campo pulsado |
| status_str | publishedVersion |
| title | Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos |
| title_full | Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos |
| title_fullStr | Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos |
| title_full_unstemmed | Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos |
| title_short | Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos |
| title_sort | Bacteriemia por Shigella flexneri serotipo 6 en pacientes con SIDA. Presentación de dos casos clínicos |
| topic | Bacteraemia Shigella flexneri AIDS pulsed-field gel electrophoresis Bacteriemia SIDA electroforesis en campo pulsado |
| url | https://hdl.handle.net/20.500.12008/52619 |
