Page 105 - JSOM Winter 2017

considered in those with more severe disease. Zinc and vita- Disclosure
min A supplementation have been shown to shorten the course The author has nothing to disclose.
of the illness in children who are malnourished. Initiation of
metronidazole for treatment of amoebic dysentery may also be Bibliography
considered in areas where it is common. American Academy of Pediatrics. Shigella infections In: Kim-
berlin DW, Brady MT, Jackson MA, Long SS, eds. Red
Importance in a Deployed Environment Book: 2015 Report of the Committee on Infectious Dis-
eases. 30th ed. Elk Grove Village, IL: American Academy
Shigellosis is the most common cause of dysentery worldwide. of Pediatrics; 2015:706–709.
It spreads rapidly in environments where the public health in- Thompson CN, Duty PT, Baker S. The rising dominance of
frastructure is lacking. Special Operations medical personnel Shigella sonnei: an intercontinental shift in the etiology
should be aware of this worldwide killer for force health pro- of bacillary dysentery. PLoS Negl Trop Dis. 20159(6):
tection reasons and should be quick to recognize outbreaks in e0003708.
human catastrophes. No vaccination currently exists for the
prevention of Shigella infections. Recommended Internet links
https://www.cdc.gov/shigella/index.html
Disclaimer https://wwwnc.cdc.gov/travel/yellowbook/2018/infectious
The views expressed in this publication are those of the au- -diseases-related-to-travel/shigellosis
thor, and do not reflect the official policy or position of the
Department of the Army, Department of Defense, or the US Keywords: shigellosis; dysentery; infection
Government.

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