Goldberg Ethan M, Balamuth Fran, Desrochers Colette R, Mittal Manoj K
Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Pediatr Emerg Care. 2011 Feb;27(2):135-7. doi: 10.1097/PEC.0b013e318209f0a0.
We report a case of Shigella-associated altered mental status and seizure in a 12-year-old boy. Although seizure is a known complication of shigellosis, it is quite unusual in patients older than 9 years. This case illustrates the importance of considering the diagnosis of shigellosis in any pediatric patient with altered mental status or seizure in the context of gastrointestinal symptoms such as diarrhea.