Snapshot A 10-year-old boy presents to the emergency room for lightheadedness, fever, and diarrhea. His dad recently traveled to Vietnam on business and returned a few days ago. Since then, the boy has had a low-grade fever, chills, malaise, anorexia, and non-bloody diarrhea. On further questioning, the dad remembered a recent bout of diarrhea, for which he had not been treated. On physical exam, the boy has rose spots on his trunk. He also has abdominal tenderness and hepatomegaly. He is started on intravenous fluids and antibiotics. Introduction Classification login to view 5 more bullets Associated conditions login to view 1 more bullet Prevention login to view 5 more bullets Epidemiology Incidence login to view 2 more bullets Demographics login to view 2 more bullets Risk factors login to view 1 more bullet ETIOLOGY Pathogenesis login to view 4 more bullets Presentation Symptoms login to view 6 more bullets Physical exam login to view 7 more bullets Studies Labs login to view 1 more bullet Making the diagnosis login to view 1 more bullet Differential Shigella infection login to view 2 more bullets Treatment Management approach login to view 2 more bullets Conservative login to view 6 more bullets Medical login to view 9 more bullets Complications Intestinal perforation login to view 1 more bullet