A 42-year-old male, painter, coming from a low socio-economic environment.
She had a history of HIV infection diagnosed 7 years earlier, had never been under control or received antiretroviral therapy (ART).
She was admitted to the emergency service with liquid stools (6 episodes a day), without blood, mucus or pus.
He had a weight loss of approximately 20 kg in the last 4 months.
There was no fever, vomiting or abdominal pain.
On physical examination, the patient was awake, eupneic, afflicted, normotensive and with a HR of 95 per min; in addition, poor general condition, mucous membranes with intense skin toxicity were observed.
She was admitted with clinical diagnosis of diarrhea in AIDS patient.
Laboratory tests revealed: hemoglobin 8.5 g/dl; hematocrit 26.2%; mean corpuscular volume (MCV) 7; leukocyte count 670/mm mean corpuscular volume (MCV) 22.8 pg; lymphocyte count 120/mm2.500/mm
The direct examination of stools showed the presence of abundant leukocytes PMN and Shigella sp.
Shigella sp. was isolated from both blood cultures.
