Invasive shigellosis in MSM

Int J STD AIDS. 2016 Sep;27(10):917-9. doi: 10.1177/0956462415610275. Epub 2015 Oct 1.


Shigella flexneri is an emerging pathogen in men who have sex with men (MSM); recent outbreaks related to sexual practices have been noted in this population in the UK and other developed countries. While the majority of cases of shigellosis present with gastroenteritis, some vulnerable patients with underlying immunosuppression can develop complications like bacteraemia and may present atypically as an acute surgical emergency. This case report highlights such a case of S. flexneri bacteraemia in a man who had sex with men.

Keywords: HIV; MSM; Shigella; antibiotic; diagnosis; sexually transmitted infection; treatment.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Retroviral Agents / therapeutic use
  • Ceftriaxone / therapeutic use
  • Dysentery, Bacillary / diagnosis*
  • Dysentery, Bacillary / drug therapy
  • HIV Infections / complications*
  • HIV Infections / drug therapy
  • Homosexuality, Male*
  • Humans
  • Immunosuppression Therapy
  • Male
  • Shigella flexneri / isolation & purification*
  • Treatment Outcome


  • Anti-Bacterial Agents
  • Anti-Retroviral Agents
  • Ceftriaxone