Ceftriaxone Resistance in Shigella Flexneri is a Worldwide Problem: Case of a Child From Turkey

Shigella is one of the causative agents of gastroenteritis and antimicrobial treatment in addition to hydration therapy can significantly reduce the mortality related to infection. Although seroprevalence of the Shigella infections varies between countries, Shigella sonnei is the first and Shigella flexneri the second most common isolated species in our country. A higher antibiotic resistance rate is reported in S. flexneri infections compared to other Shigella species. Herein, we report a case who presented with acute gastroenteritis due to ceftriaxone-resistant S. flexneri. This infection was complicated with severe dehydration, protein-losing enteropathy and was successfully treated with ciprofloxacin and meropenem. (J Pediatr Inf 2013; 7: 000-000)