“…Ingestion does not always cause this disease, which is generally self-limited and accompanied by fever, chills, abdominal pain, nausea, diarrhea, and/or vomiting; in severe cases, the diarrheal stools can be yellowish green, foamy, and bloody. P. shigelloides is also capable of causing septicemia with a high mortality rate and other extraintestinal infections, such as cellulitis, urinary tract infections, peritonitis, meningitis, conjunctivitis, endocarditis, pneumonia, arthritis, endophthalmitis, and cholecystitis [ 27 , 34 – 36 , 44 , 45 ].…”