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Because this appears to be a bleeding problem, reviews seyalis 10 mg not an infection, stool culturing may be eschewed, the bleeding stops, and the diagnosis is never made nor even considered. Curiously, fever is usually absent, being one of the hallmarks of this disease. When fever is present, more likely one would be dealing with shigella, campylobacter, or amebiasis. The abdominal examination is usually relatively benign, without the appearance of an acute abdomen.