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Abstract

A 16-year-old female was admitted following complaints of vomiting 2 days after intake of non-vegetarian food from a cafe. It was associated with the passage of loose stools with mucus. Following a seizure-like episode, she was referred to a higher centre. She was delirious and during the transit, she collapsed and died the same day. The body was transferred to the Forensic Medicine Department of Government Medical College, Kannur for post-mortem examination as a definite clinical diagnosis of the cause of death could not be made.

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Deepthi Pariyeriparambil Narayanan, Nikhil Lakshmanan Thekkumbadan, Shafeedha Rashbi Karakulangara, & Pooja Shaji. (2022). Ekiri Syndrome - A Post-Mortem Study. Journal of Evolution of Medical and Dental Sciences, 11(11), 871–874. https://doi.org/10.14260/jemds.v11i11.242
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References

  1. Dupont HL. Shigella species (Bacillary dysentery). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and practice of infectious diseases. 7th edn. Philadelphia: Churchill Livingstone 2010:2905-10.
  2. DuPont HL, Gangarosa EJ, Reller LB, et al. Shigellosis in custodial institutions. Am J Epidemiol 1970;92(3):172-9.
  3. Sharma A, Singh SK, Bajpai D. Phenotypic and genotypic characterization of Shigella spp. with reference to its virulence genes and antibiogram analysis from river Narmada. Microbiol Res 2010;165(1):33-42.
  4. Faruque SM, Khan R, Kamruzzaman M, et al. Isolation of Shigella dysenteriae type 1 and S. flexneri strains from surface waters in Bangladesh: comparative molecular analysis of environmental Shigella isolates versus clinical strains. Appl Environ Microbiol 2002;68(8):3908-13.
  5. Murugesan P, Revathi K, Elayaraja S, et al. Distribution of enteric bacteria in the sediments of Parangipettai and Cuddalore coast of India. J Environ Biol 2012;33(4):705-11.
  6. Saeed A, Abd H, Edvinsson B, et al. Acanthamoeba castellani an environmental host for Shigella dysenteriae and Shigella sonnei. Arch Microbiol 2009;191(1):83-8.
  7. Gupta AK, Nayduch D, Verma P, et al. Phylogenetic characterization of bacteria in the gut of house flies (Musca domestica L.). FEMS Microbiol Ecol 2012;79(3):581-93.
  8. Vicens R, Richard C, Coulanges P, et al. A reservoir of Shigella of avian origin: herons and birds of prey of the zoological garden in Tananarive. Bull Soc Pathol Exot Filiales 1987;80(3):295-300.
  9. Kalai K, Nehete RS, Ganguly S, et al. Investigation of parasitic and bacterial diseases in pigs with analysis of hematological and serum biochemical profile. J Parasit Dis 2012;36(1):129-34.
  10. Bachand N, Ravel A, Onanga R, et al. Public health significance of zoonotic bacterial pathogens from bushmeat sold in urban markets of Gabon, Central Africa. J Wildl Dis 2012;48(3):785-9.
  11. Niyogi SK. Shigellosis. J Microbiol 2005;43(2):133-43.
  12. Thapa BR, Venkateswarlu K, Malik AK, et al. Shigellosis in children from north India: a clinicopathological study. J Trop Pediatr 1995;41(5):303-7.
  13. Das M, Rath CC, Mohapatra UB. Bacteriology of a most popular street food (Panipuri) and inhibitory effect of essential oils on bacterial growth. J Food Sci Technol 2012;49(5):564-71.
  14. Khurana S, Taneja N, Thapar R, et al. Intestinal bacterial and parasitic infections among food handlers in a tertiary care hospital of North India. Trop Gastroenterol 2008;29(4):207-9.
  15. Sur D, Ramamurthy T, Deen J, et al. Shigellosis: challenges & management issues. Indian J Med Res 2004;120(5):454-62.
  16. Dodd K, Buddingh J, Rapoport S. The etiology of ekiri, a highly fatal disease of Japanese children. Pediatrics 1949;3(1):9-19.
  17. Pourakbari B, Mamishi S, Kohan L, et al. Lethal toxic encephalopathy due to childhood shigellosis or Ekiri syndrome. J Microbiol Immunol Infect 2012;45(2):147-50.
  18. Sarkar K, Ghosh S, Niyogi SK, et al. Shigella dysenteriae type 1 with reduced susceptibility to flouroquinolones. Lancet 2003;361(9359):785.
  19. Venkatesan MM, Ranallo RT. Live-attenuated Shigella vaccines. Expert Rev Vaccines 2006;5(5):669-86.
  20. Saha T, Murhekar M, Hutin YJ, et al. An urban, water-borne outbreak of diarrhoea and shigellosis in a district town in eastern India. Natl Med J India 2009;22(5):237-9.
  21. Von Seidlein L, Kim DR, Ali M, et al. A multicentre study of Shigella diarrhoea in six Asian countries: disease burden, clinical manifestations, and microbiology. PLoS Med 2006;3(9):e353.
  22. Sandyk R, Brennan MJ. Fulminating encephalopathy associated with Shigella flexneri infection. Arch Dis Child 1983;58(1):70-1.
  23. Heldenberg D. Reye like syndrome due to encephalopathy and acute hepatic failure during a Shigella flexneri infection. Harefuah 1986;112:231-2.
  24. Goren A, Freier S, Passwell JH. Lethal toxic encephalopathy in childhood shigellosis in a developed country. Pediatrics 1992;89(6):1189-93.
  25. Jayakrishnan MP, Geeta MG, Krishnakumar P, et al. Factors associated with mortality in toxic encephalopathy due to shigellosis in children. Indian Pediatrics 2020;57(11):1029-32.
  26. Ogasawara K, Ata S, Yoneda M, et al. Pathological and Bacteriological Examinations of a Postmortem Case of Ekiri. Aetiological Studies on Ekiri (Fourth Report). Nagoya Journal of Medical Science 1952;15(4):277-80.
  27. Pourakbari B, Mamishi S, Mashoori N, et al. Frequency and antimicrobial susceptibility of Shigella species isolated in children medical center hospital, Tehran, Iran, 2001-2006. The Brazilian Journal of Infectious Diseases 2010;14(2):153-7.