Picture 21

This picture shows Shigella dysenteriae cultured in Gram stain.

Shigella dysenteriae

Morphology: Gram negative cocci that do not ferment lactose, do not produce spores and is motile

Route of transmission: Food, fingers, flies, faeces

Investigations: Gram stain, organism cultured on MacConkey's agar and Triple Sugar Iron (TSI) medium

Diseases:

Usually mild watery diarrhea in developed countries and severe "bacillary dysentery" in developing countries

Treatment:

No antibiotics are given in mild cases

In severe cases, ciprofloxacin or trimethoprim-sulfamethoxazole is prescribed

 

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