AI Article Synopsis
- * A case report details a 25-year-old MSM with advanced HIV who suffered from recurrent multidrug-resistant shigellosis due to risky sexual practices and poor HIV management.
- * The case emphasizes the need for improved HIV care, patient education, healthcare coordination, and surveillance to address the rise of resistant shigellosis in at-risk communities.
Article Abstract
Shigellosis, a significant public health concern, has increasingly been recognized as a sexually transmitted infection (STI) among men who have sex with men (MSM), particularly in those with HIV. This case report describes a 25-year-old MSM with advanced HIV who presented with recurrent multidrug-resistant (MDR) infection despite multiple hospitalizations and antibiotic courses. The patient's high-risk sexual behaviors and suboptimal HIV management likely contributed to recurrent exposure to and the selection of resistant strains. This case highlights the complex interplay of individual behaviors, immune suppression, antimicrobial resistance, and the healthcare system in the context of this emerging STI. It underscores the importance of optimized HIV care, comprehensive patient education, robust healthcare coordination, and strengthened surveillance to effectively combat MDR shigellosis in vulnerable populations.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315437 | PMC |
| http://dx.doi.org/10.7759/cureus.64234 | DOI Listing |
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