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#idboardreview 30 MSM PLWH Cd4 800 VL<20 on ART presents w/ 2wk abd cramps & watery diarrhea. Blood agar: translucent, flat bacterial colony that appeared to spread across plate. Dx? #medEd #idmedEd #IDtwitter 
#Shigellosis acute diarrhea, vomiting & abdominal cramps. (1) Stools often contain blood, although some have watery diarrhea. Rarely, severe shigellosis may be complicated by rectal prolapse, intestinal obstruction & colonic perforation. Post infect Reactive arthritis 1-2 wks
