A case of intercurrent shigellosis and rectal gonorrhea in an acutely unwell febrile returned traveler.

ABSTRACT: Both acute traveler's diarrhea and sexually transmitted infections are common causes of fever in the returned traveler, with the male sex corresponding to two-fold increased odds of a sexually transmitted infection (STI) diagnosis related to travel. Shigella flexneri is the most common cause of shigellosis in low- and middle-income countries, while within the men who have sex with men (MSM) population, outbreaks of S. flexneri 3a, S. flexneri 2a, and S. sonnei have been reported. We herein present a case of a febrile returned MSM traveler with a predominantly gastrointestinal presentation and proctocolitis whose microbiological work-up confirmed coinfection with S. flexneri and rectal gonorrhea. Based on his travel history and epidemiologic risk factors,

SUBMITTER: Fuller C 

PROVIDER: S-EPMC11837061 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature