| notes from the field: outbreak of diarrheal illness caused by shigella flexneri - american samoa, may-june 2014. | on may 9, 2014, a physician at hospital a in american samoa noticed an abnormally high number of children presenting to the emergency department with bloody diarrhea. based on preliminary testing of stool specimens, entamoeba histolytica infection was suspected as a possible cause. shigella was also suspected in a subset of samples. on may 22, the american samoa department of health requested assistance from cdc with the outbreak investigation. the goals of the investigation were to establish th ... | 2015 | 25590684 |