Tenesmus
Dysentery
Abdominal pain : suprapubic region
Fever with chills (BT>38.5 ˚C)
N/V
No dehydration
Shigella, Salmonella, E.coli, V. parahaemolyticus, Aeromonas
Stool exam : numerous WBC, RBC
Shigella dysentariae type 1: fatality 10-20 % (untreated) , 5 % (trated)