shigellosis (rahul singh 1807) new.nnhhpptx

Signs and symptoms
Cause
Types
Etiology
Pathogenesis
Treatment

1. Clinical case history of patient on Shigellosis NAME – RAHUL SINGH GROUP- 1807

2. Patient Information: Name: lulenskiy servegich Age: 32
Gender: Male
Occupation: Office worker
Location: Urban area

3. Presenting Complaints: Severe abdominal cramps from last 2 days.
Frequent, watery diarrhea with blood and mucus (7-8 times a day)
Nausea and vomiting arise yesterday morning.
Fever (temperature measured at 102°F/38.9°C)
Generalized weakness and fatigue

4. Past Medical History: No significant past medical history reported
No known allergies Social History: Lives in an urban area with access to clean water and sanitation facilities
Non-smoker
Occasional alcohol consumption
No recent travel history to endemic areas

5. Physical Examination Findings: Elevated temperature (102°F/38.9°C)
Tachycardia (heart rate: 110 bpm)
Dehydrated mucous membranes
Abdominal tenderness on palpation, especially in the lower quadrants
No signs of jaundice or rash

6. Investigations 1 Stool examination:
Presence of leukocytes and blood
Positive for Shigella species on culture 2 Complete Blood Count (CBC):
Elevated white blood cell count (WBC)
Mild anemia 3 Electrolyte panel:
Hyponatremia Hypokalemia

7. Diagnosis :
Shigellosis (bacillary dysentery) confirmed based on clinical presentation, stool examination, and culture results. Treatment : 1 Antibiotic therapy:
Empirical treatment with ciprofloxacin initiated pending sensitivity results.
Rehydration therapy with oral or intravenous fluids to correct electrolyte imbalances and prevent dehydration. 2 Symptomatic management:
Antipyretics for fever control Antiemetics for nausea and vomiting
Analgesics for pain relief

8. Follow-Up Patient advised to continue antibiotic therapy as prescribed and complete the course.
Emphasize the importance of hand hygiene and proper sanitation measures to prevent transmission to others.
Follow-up appointment scheduled in one week to monitor progress and ensure resolution of symptoms.
Public health authorities notified to investigate potential sources of infection and implement control measures if necessary.