Abstract
In The Lancet Infectious Diseases, Katie Thorley and colleagues1 describe the emergence of extensively drug-resistant (XDR) and multidrug-resistant Shigella flexneri serotype 2a among gay, bisexual, and other men who have sex with men (MSM) in England. This Article follows several previous reports of outbreaks of multidrug-resistant Shigella sonnei among MSM in England and other high-income countries and occurs on a wider backdrop of the re-emergence of other enteric infections, such as hepatitis A virus and lymphogranuloma venereum, among interconnected populations of MSM globally.
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