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A Case of Traveler's Diarrhea Due to Extended Spectrum Beta Lactamase Producing Shigella sonnei
1)Department of Infection Prevention and Control, Tokyo Medical University Hospital, 2)Department of Infectious Disease, Tokyo Medical University Ibaraki Medical Center
Itaru NAKAMURA1), Maki SAKAGAMI1), Masami MACHIDA1), Tatsuya UKAWA2), Takao SATO1), Ayaka TSUKIMORI1), Akihiro SATO1), Shinji FUKUSHIMA1) & Hidehiro WATANABE1)
(Received June 27, 2018)
(Accepted September 26, 2018)
Key words: extended spectrum β-lactamase (ESBL), Shigella sonnei, travelers diarrhea

We, herein, reported a case of traveler's diarrhea due to extended spectrum β-lactamase (ESBL) producing Shigella sonnei returning from Cambodia. A 28-year-old female, mild diarrhea without blood appeared on the final day of traveling for 8 days. Although physical findings and blood tests were normal, ESBL producing S. sonnei was detected from stool culture, and antibiotic therapy with MEPM (1 g three times a day) was performed. ESBL producing bacteria seriously spread in Enterobacteriaceae, and the transfer of ESBL production to Shigellosis is also concerned. Clinical efficacy of antibiotic therapy for infections due to ESBL-producing Shigella spp. in Japan is insufficient and current case is considered to be meaningful.

[ Kansenshogaku Zasshi 93: 18-20, 2019 ]

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