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Dysentery by CTX-M type ESBL producing shigella flexneri

Abstract:

According to the World Health Organization, diarrheal infections cause 525 000 deaths of children under five years of age every year, and shigellosis is a relevant cause of dysentery which increases the morbidity and mortality in pediatric patients. Therefore, emerging of antimicrobial resistant strains of Shigella is a concerning problem worldwide. We report the case of a 7-year-old patient with acute dysentery caused by CTX-M Type ESBL Producing Shigella flexneri, being the first case in the Hospital of Specialties of the Armed Forces N°1, Quito, Ecuador. The antibiogram demonstrated sensibility to ampicillin-sulbactam. As a result, after five days of microbiologically directed treatment, the patient improved his condition without relapse. Proper clinical diagnoses and accurate laboratory studies like stool culture and antibiogram are crucial to giving an appropriate therapy in infections caused by Shigella and other enteric bacilli.