Dengue Fever With Shigellemia: A Case Report

Shigella mostly causes gastroenteritis and rarely causes sepsis. Mostly malnourished children and elderly immunocompromised population at high risk of blood stream infection. Here, we are presenting a case of a male, aged 73 years. He was a known case of diabetes, hypertension, and ischemic heart disease (history of angioplasty twice) who came into the emergency department on 16th October 2024. The presenting with of loose bloody stools for 5 days, with shortness of breath. Initially, the patient was managed on the line of viral haemorrhagic fever with secondary bacterial infection of the Gastrointestinal tract, including Shigella. The patient was improving with symptomatic treatment and on antibiotics. This case highlights the rarity of and generates awareness among health care workers and physicians to direct their approach considering patient risk factors and clinical deteriorating conditions and early diagnosis of secondary bacterial infections in viral and immunocompromised patients. This approach reduces the hospital stay and cost, risk of treatment failure and mortality rate.