Shigella sonnei

Shigella sonnei is a species of Shigella.[2] Together with Shigella flexneri, it is responsible for 90% of shigellosis cases.[3] Shigella sonnei is named for the Danish bacteriologist Carl Olaf Sonne.[4][5] It is a Gram-negative, rod-shaped, nonmotile, non-spore-forming bacterium.[6]

Shigella sonnei
Gram negative Shigella sonnei bacteria which spent 48 hours cultured on Hektoen enteric agar (HEK).
Scientific classification
Domain:
Bacteria
Phylum:
Class:
Order:
Family:
Genus:
Species:
S. sonnei
Binomial name
Shigella sonnei
(Levine 1920) Weldin 1927 [1]
Synonyms

Bacterium sonnei Levine 1920

Pathophysiology

This species polymerizes host cell actin.

Evolution

This species is clonal and has spread worldwide. Analysis of 132 strains has shown that they originated from a common ancestor in Europe around 1500 AD.[7]

Causes

"Group D" Shigella bacteria cause shigellosis. Those infected with the bacteria release it into their stool, thus causing possibility of spread through food or water, or from direct contact to a person orally. Having poorly sanitized living conditions or contaminated food or water contributes to contracting the disease.[8]

People at risk

Infants and toddlers, the elderly, travelers, and ill people are susceptible to the most severe symptoms of S. sonnei disease. Shigellosis is commonly suffered by individuals with acquired immune deficiency syndrome (AIDS) and AIDS-related complex, as well as non-AIDS homosexual men. The other people who are at risk include the gay, bisexual, and other men who have sex with men (MSM). Shigellosis could also be passed through HIV-infected persons who already have contracted a more severe and prolonged shigellosis, including having the infection spread into the blood, which can be life-threatening to the person.[9][10]

Symptoms

Infections can result in acute fever, acute abdominal cramping, cramping rectal pain, nausea, watery diarrhea, or blood, mucus, or pus in the stool, which may occur within 1–7 days after coming in contact with the bacteria.[8] Most Shigella infection usually clears up without complications, but if left untreated or delay in diagnosis may lead to some serious complication such as dehydration (especially severe dehydration can lead to shock and death), seizure, hemolytic uremic syndrome (HUS), toxic megacolon, and reactive arthritis.[11] Persons with diarrhea usually recover completely, although it may be several months before their bowel habits are entirely normal. Once someone has had shigellosis, they are not likely to get infected with that specific type again for at least several years. However, they can still get infected with other types of Shigella.[12]

Possible complications

Prevention

No vaccines are available for Shigella. The best prevention against shigellosis is thorough, frequent, and cautious handwashing with soap and water before and after using the washroom and before handling food; also, a strict adherence to standard food and water safety precautions is important. Avoid having sexual intercourse with those people who have diarrhea or who recently recovered from diarrhea. It is also important to avoid swallowing water from ponds, lakes, or untreated swimming pools.[14][15]

Treatment

Antibiotic resistance has been reported.[16]

Growth in lab

It can be grown on MAC agar and TSA, at 37 °C optimally, but it also grows at 25 °C. It is facultatively anaerobic and chemo-organotrophic, and produces acid when carbohydrates are catabolized.

References

  1. Parte, A.C. "Shigella". Bacterio.net.
  2. Shigella+sonnei at the US National Library of Medicine Medical Subject Headings (MeSH)
  3. Shigellosis~clinical at eMedicine
  4. Carl Olaf Sonne at Who Named It?
  5. Shigella sonnei at Who Named It?
  6. "Shigella sonnei". Microbewiki.
  7. Holt, Kathryn E; Baker, Stephen; Weill, François-Xavier; Holmes, Edward C; Kitchen, Andrew; Yu, Jun; Sangal, Vartul; Brown, Derek J; Coia, John E; Kim, Dong Wook; Choi, Seon Young; Kim, Su Hee; da Silveira, Wanderley D; Pickard, Derek J; Farrar, Jeremy J; Parkhill, Julian; Dougan, Gordon; Thomson, Nicholas R (2012). "Shigella sonnei genome sequencing and phylogenetic analysis indicate recent global dissemination from Europe". Nature Genetics. 44 (9): 1056–9. doi:10.1038/ng.2369. PMC 3442231. PMID 22863732.
  8. MedlinePlus Encyclopedia Shigellosis
  9. Bad Bug Book 2d ed. – BBB – Shigella spp., Foodborne Pathogenic Microorganisms and Natural Toxins Handbook, FDA.
  10. "General Information | Shigella – Shigellosis | CDC". www.cdc.gov. 2017-10-12.
  11. Mayo Clinic Staff. "Shigella Infection". Shigella Infection Complications. Mayo Foundation for Medical Education and Research, 24 August 2012. Retrieved 13 May 2015.
  12. CDC Staff""
  13. Mayo Clinic Staff. "Shigella Infection". Shigella Infection Complications. Mayo Foundation for Medical Education and Research, 24 August 2012. Retrieved 13 May 2015.
  14. "General Information | Shigella – Shigellosis | CDC". Cdc.gov. Retrieved 18 April 2016.
  15. "Shigellosis – Chapter 3 – 2016 Yellow Book | Travelers' Health | CDC". Cdc.gov. Retrieved 18 April 2016.
  16. Jain, Sanjay K.; Gupta, Amita; Glanz, Brian; Dick, James; Siberry, George K. (2005). "Antimicrobial-Resistant Shigella sonnei". The Pediatric Infectious Disease Journal. 24 (6): 494–7. doi:10.1097/01.inf.0000164707.13624.a7. PMID 15933557.
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