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among the symptoms of shigellosis are high fever, loss of appetite and abdominal cramps. Severe cases might include seizures, a stiff neck, a headache and confusion. In some cases, shigella flexneri causes Reiter's syndrome, also called retroactive Arthritis. This strain of shigella bacteria also is responsible for such symptoms as painful joints, eye irritation and painful urination, which occur in about two percent of cases. Dehydration due to diarrhea and vomiting is a concern. It can lead to other severe complications, such as kidney failure. Children might need to be hospitalized if fever reaches more than 101 degrees Fahrenheit.

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Q: What is retroactive arthritis?
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The term "suppurative arthritis" is a near synonym for septic arthritis. ("Suppurative" refers to the production of pus, without necessarily implying sepsis.)ICD-10 uses the term "pyogenic arthritis". Pyogenic also refers to the production of pus.Reactive arthritis refers to arthritis caused by an immune consequence of an infection, but not directly attributable to the infection itself.The usual etiology of septic arthritis is bacterial, but viral, mycobacterial, and fungal arthritis occur occasionally. A broader term is "infectious arthritis", which describes arthritis caused by any infectious organism. Viruses can cause arthritis, but it can be hard to determine if the arthritis is directly due to the virus or if the arthritis is reactive.Septic/suppurative arthritis and "bacterial arthritis" are sometimes considered equivalent, but there are exceptions. For example, Borrelia burgdorferi can cause infectious arthritis, but is not associated with suppurative arthritis. (Source wikipedia)Osteoarthritis does not involve the production of puss at the site of the effected joint or joints.