What are the causes and symptoms of shigellosis?
Shigella share several of the characteristics of a group of bacteria that inhabit the intestinal tract. E. coli, another cause of food-borne illness, can be mistaken for Shigella both by physicians and the laboratory. Careful testing is needed to assure proper diagnosis and treatment. Shigella are very resistant to the acid produced by the stomach, and this allows them to easily pass through the gastrointestinal tract and infect the colon (large intestine). The result is a colitis that produces multiple ulcers, which can bleed. Shigella also produce a number of toxins (Shiga toxin and others) that increase the amount of fluid secretion by the intestinal tract. This fluid secretion is a major cause of the diarrhea symptoms. Shigella infection spreads through food or water contaminated by human waste. Sources of transmission are: • contaminated milk, ice cream, vegetables and other foods which often cause epidemics • household contacts (40% of adults and 20% of children will develop infe
