Shigellosis: Causes, Symptoms, Treatment, and Prevention
Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on September 9th, 2023.
Published on September 9th, 2023. Updated on August 11th, 2026.
Key takeaways
Four Shigella species cause infection, with S. sonnei accounting for 75% of US cases and S. dysenteriae causing the most severe symptoms including hemolytic uremic syndrome.
Symptoms typically appear 1-3 days after exposure and include bloody diarrhea (in 70% of cases), fever up to 104°F, and severe abdominal cramps lasting 5-7 days.
The bacteria spreads through fecal-oral transmission with as few as 10-100 organisms needed to cause infection—much lower than other foodborne pathogens like Salmonella.
Antibiotic resistance is increasingly common, with ciprofloxacin resistance rates exceeding 90% in some regions, making azithromycin the preferred treatment for severe cases.
Proper handwashing with soap for 20 seconds can reduce transmission by up to 85%, and the infection remains contagious for several weeks after symptoms resolve.
Questions about shigellosis?
Free. Anonymous. Built by doctors.
This article covers general information. Ask Doctronic about your symptoms, medications, side effects, or treatment options.
Shigellosis is a type of food poisoning caused by a group of bacteria called Shigella. This infection can lead to uncomfortable symptoms such as stomach cramps, fever, and frequent, watery or bloody diarrhea. While shigellosis is common among young children, it can affect people of all ages, especially when traveling to developing countries with poor hygiene conditions.
Causes of Shigellosis
Shigella bacteria enter your body through your mouth and multiply in your intestines, causing inflammation and the characteristic symptoms of shigellosis. The disease spreads when bacteria from an infected person's stool come into contact with another person's mouth. This can happen through:
- Touching contaminated objects, such as changing tables, toys, or doorknobs
- Eating food prepared by someone with shigellosis who hasn't washed their hands properly
- Swallowing contaminated water, such as in a swimming pool or pond
- Sexual contact involving oral-anal contact
Symptoms of Shigellosis
The primary symptom of shigellosis is diarrhea, which may be accompanied by blood or mucus. Other symptoms may include:
- Nausea and vomiting
- Fever
- Stomach and abdominal cramping
- Tenesmus (feeling the need to use the bathroom even when your bowels are empty)
Mild cases of shigellosis usually clear up within a week without treatment. However, seniors, infants, and people with weakened immune systems may experience more severe symptoms. Seek medical attention if you experience severe diarrhea, fever, or signs of dehydration.

Treatment for Shigellosis
In most cases, shigellosis can be managed by getting plenty of rest and staying hydrated to replace fluids lost through diarrhea. Avoid anti-diarrheal medications, as they can worsen the infection. In severe cases, your doctor may prescribe antibiotics to help shorten the duration of the illness. However, some Shigella bacteria are resistant to antibiotics, so it's essential to follow up with your doctor if your symptoms don't improve after several days of treatment.
Preventing Shigellosis
Since there is no vaccine or cure for shigellosis, the best way to prevent the disease is through good hygiene practices. This includes:
- Washing your hands thoroughly with warm water and soap, especially after using the bathroom, changing diapers, and before preparing or eating food
- Keeping children with diarrhea out of daycare or school until they recover
- Avoiding drinking water from pools, lakes, or ponds
- Eating only boiled, cooked, or peeled food when traveling abroad
- Wrapping and disposing of soiled diapers properly
- Avoiding sexual contact with someone who has recently had diarrhea
By understanding the causes, symptoms, treatment options, and prevention strategies for shigellosis, you can help protect yourself and your loved ones from this common food poisoning. Remember, practicing good hygiene is the key to reducing the risk of infection and maintaining your overall health.
For more information on shigellosis and other foodborne illnesses, visit:
- Centers for Disease Control and Prevention (CDC) - Shigella
- World Health Organization (WHO) - Shigellosis
- Mayo Clinic - Shigella infection
The Bottom Line
Most cases resolve with supportive care and hydration within a week, but seek medical attention for high fever, signs of dehydration, or bloody diarrhea lasting more than 24 hours. Early treatment can prevent serious complications and reduce the contagious period. If you're experiencing severe gastrointestinal symptoms, Doctronic can help determine if you need immediate care.
Related articles
Get personalized health advice
Chat Now