Shigellemia in a post renal transplant patient: a case report and literature review

J Infect Dev Ctries. 2014 Feb 13;8(2):237-9. doi: 10.3855/jidc.3000.


Shigellemia is a complication of shigellosis that occurs generally in malnourished children. In adults, shigellemia is usually seen in immunocompromised individuals. Here we report the first case of shigellemia in a renal transplant patient from India. The patient had history of diarrhea, which was treated symptomatically. Subsequently, the patient developed high-grade fever and blood culture was positive for Shigella flexneri. Recovery was uneventful after the initiation of antimicrobial therapy. In a country like India with high prevalence of shigellosis, screening for Shigella in the pre-transplant period may minimize the morbidity and prolonged hospital stay associated with the complication of septicemia.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / drug therapy*
  • Diarrhea / microbiology
  • Dysentery, Bacillary / drug therapy*
  • Humans
  • Immunocompromised Host*
  • India
  • Kidney Transplantation*
  • Male
  • Prevalence
  • Shigella flexneri / isolation & purification


  • Anti-Bacterial Agents