
Shigella are bacteria that can infect the digestive
tract and cause a wide range of symptoms, from diarrhea, cramping,
vomiting, and nausea, to more serious complications and illnesses.
Infections, called shigellosis, sometimes go away on their own; in
others, antibiotics can shorten the course of the illness.
Shigellosis, which is most common during the summer months,
typically affects kids 2 to 4 years old, and rarely infects infants
younger than 6 months old.
These infections are very contagious and can be prevented with good
hygienic practices.
Shigella bacteria produce toxins that can attack the lining of the
large intestine, causing swelling, ulcers on the intestinal wall,
and bloody diarrhea.
The harshness of the diarrhea sets shigellosis apart from regular
diarrhea. In kids with shigellosis, the first bowel movement
is often large and watery. Later bowel movements may be smaller,
but the diarrhea may have blood and mucus in it.
Other symptoms of shigellosis include:
- abdominal cramps
- high fever
- loss of appetite
- nausea and vomiting
- painful bowel movements
In very severe cases of shigellosis, a person may have convulsions
(seizures), a stiff neck, a headache, extreme tiredness, and
confusion. Shigellosis can also lead to dehydration and other
complications, like arthritis, skin rashes, and kidney
failure.
Some children with severe cases of shigellosis may need to be
hospitalized.