Major complications of Shigella infection

Complication	Prevalence (percent)
Intestinal
Proctitis or rectal prolapse	*
Toxic megacolon	3^¶
Intestinal obstruction	2.5^¶
Colonic perforation	1^¶
Systemic
Bacteremia	4
Moderate to severe hypovolemia	10 to 12^¶
Hyponatremia	29^¶
Leukemoid reaction	3^¶
Neurologic symptoms	12 to 45
Reactive arthritis or Reiter syndrome	1.4
Hemolytic-uremic syndrome	<1

* Unknown.
¶ Prevalence rate has been reported for a subpopulation of individuals with Shigella enteritis, and therefore the reported prevalence probably represents an overestimation of the true prevalence in all individuals with the disease.

Graphic 69134 Version 5.0

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