A seven-year-old boy from Kodur in Malappuram district has died of shigellosis while undergoing treatment at Kozhikode Medical College Hospital, marking Kerala’s fourth shigella-related death this year.According to media reports, the child, identified as Arjav, a Class II student of Malappuram AUP School, was admitted on June 12 with fever and severe diarrhoea. His condition deteriorated rapidly despite intensive care, and he died on Monday morning.Condition worsened despite treatmentHealth officials confirmed that the child had been diagnosed with a Shigella infection after admission. Despite medical intervention at the government medical college hospital, his condition continued to worsen.Officials said this is the fourth shigella-linked death reported in the state this year, and the third in June alone.Other patients under treatmentA one-year-old child currently undergoing treatment for shigella infection at the ICU of Kozhikode Medical College Hospital remains in critical condition.Rising cases across the stateHealth department data shows 135 confirmed shigellosis cases across Kerala since January, with Kozhikode accounting for 68 cases.In June alone, 62 confirmed cases and 17 suspected infections have been reported. Officials also confirmed three new cases on June 14.Earlier deaths reported this yearOther shigella-related deaths in Kerala this year include:59-year-old woman from Keezhattur, Malappuram, who died on June 94-year-old child from Kozhikode who died on June 63-year-old girl from Anakuzhikkara, Kozhikode, who died in MarchHealth advisory and precautionsHealth authorities have intensified surveillance in Malappuram following the latest fatality and urged the public to maintain strict hygiene practices, consume safe drinking water, and seek immediate medical care if symptoms such as fever, diarrhoea, vomiting, or blood in stools appear.What is shigella infectionShigella bacteria cause shigellosis, an intestinal infection that leads to diarrhoea, fever, and stomach cramps. It spreads mainly through contaminated food, unsafe water, and close contact with infected individuals.While often mild, the infection can become severe in vulnerable patients or those with underlying health conditions.