A Subway sandwich restaurant in Lombard, Illinois that was temporarily closed by health officials a few weeks ago has been the source of a Shigella outbreak which has afflicted at least 116 people.

Of the 116 known people ill with the diarrheal disease, 13 had to be hospitalized. The investigation into the outbreak is ongoing, but it appears that the source of the bacterium was a Subway employee. The Health Department has yet to confirm its findings.

It is also suspected that the number of people infected with Shigella from this Subway establishment may be quite a bit higher due to people not seeing their doctor; hence it doesn’t get reported to state and federal health officials.

Owners of the restaurant and representatives of Subway’s corporate offices are cooperating with health officials, according to a statement by the health department.

Currently there are several lawsuits against the restaurant and the number of lawsuits is also likely to grow.

Shigellosis is an acute bacterial disease of the intestines caused by several species of the bacterium, Shigella. It is typified by loose stools, frequently containing blood and mucus (dysentery), accompanied by fever, vomiting, cramps and occasionally toxemia.

It can cause bacillary dysentery because of the invasive ability of the organism that may result ulcerations and abscesses of the intestines.

It rarely spreads to the bloodstream.

More severe complications may include convulsions in children, Reiter’s syndrome and hemolytic uremic syndrome depending on the species of Shigella implicated.

It is transmitted primarily by fecal-oral person to person means. It can also occur through contaminated food or water. Those that are primarily responsible for transmission are those that fail to wash their hands thoroughly after defecation.

Because Shigella is resistant to gastric acid, a person can get infected with as little as 10 organisms.

After getting infected symptoms usually appear 1-3 days later. It can be transmitted during the acute phase of infection till approximately four weeks after illness when the organism is no longer present in the feces. Asymptomatic carriers can also infect others.

Diagnosis is confirmed through bacteriological culture of feces. Treatment of shigellosis may include fluid and electrolyte replacement if there are signs of dehydration.

Antibiotics can shorten the course of infection, the severity of illness and the period of time a person may excrete the pathogen. Because of some antibiotic resistance, a antibiotic susceptibility test should be performed to determine which antibiotic will be effective.