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Virulence genes Toxin Mechanism of action Symptoms Reference kind Shigella stx1 and stx2 Shiga toxin (stxA, stxB) Stx invades cells and causes inflammation and inhibits Dysentery and (OпїЅLoughlin and Robins-Browne, dysenteriae protein synthesis diarrhea 2001) Shigella boydii Stx 1/ stx2 and Shiga toxin (stxA, stxB) LcsA promotes actin polymerization Dysentery (Parsot, 2005) LcsA and IcsA Shigella sonnei Stx 1/ stx2 and Shiga toxin (stxA, stxB) Acute irritation Diarrhea and (Jiang et al. Prediction model for listening to outcome in sufferers with idiopathic sudden sensorineural listening to loss. Mebendazole or albendazole for a restricted period after surgery, or lengthy-time period (a number of years) for inoperable sufferers may stop development of the disease; presurgery chemotherapy is indicated in rare circumstances muscle relaxant drug names buy nimotop in united states online.