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Skin Lesions and Shigellosis

The cases of three patients with Shigella sonnei infection and skin lesions, two of whom also had Shigella bacteremia, were studied for a viral etiology of the skin lesions, but the findings were negative. Shigella bacteremia is rare and cannot be diagnosed clinically. Published reports of six other patients with skin lesions and shigellemia were found. We suggest that skin manifestations may be related to the bacteremia and serve as a clinical clue that shigellemia has occurred.