Description: | This illustration depicts a three-dimensional (3D)
computer-generated image of a number of rod-shaped,
drug-resistant Shigella bacteria. The artistic recreation
was based upon scanning electron micrographic imagery.
Note that the exterior of the Shigella bacterium is
fimbriated, covered by numerous thin, hair-like projections,
imparting a furry appearance.Shigella usually causes diarrhea0
(sometimes bloody), fever, and abdominal pain. Sometimes
it causes serious complications such as reactive arthritis.
High-risk groups include young children, people with inadequate
handwashing and hygiene habits, and men who have sex with men.
Resistance to traditional first-line drugs such as ampicillin
and trimethoprim-sulfamethoxazole has become so high that
physicians must now rely on alternative drugs like ciprofloxacin
and azithromycin to treat infections, drugs to which Shigella has
shown resistance. Resistant infections can last longer than
infections with susceptible bacteria (bacteria that can be treated
effectively with antibiotics).
Shigella causes approximately 500,000 diarrheal illnesses,
5,500 hospitalizations, and 40 deaths each year in the United States.
CDC is seeing resistance to ciprofloxacin in 1.6% of the Shigella cases
tested and resistance to azithromycin in approximately 3%. Because
initial treatment can fail, costs are expected to be higher for resistant infections. |
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