Escherichia coli enteritis history and symptoms: Difference between revisions
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{{CMG}}; {{AE}} {{SSK}}, {{YD}} | {{CMG}}; {{AE}} {{SSK}}, {{YD}} | ||
==Overview== | ==Overview== | ||
Symptoms of ''E. coli'' enteritis include [[diarrhea]] (either [[watery diarrhea|watery]] or [[bloody diarrhea|bloody]]), [[nausea]], [[vomiting]], [[abdominal pain]], and [[bloating]] with or without [[fever]] (fever is characteristically absent in EHEC enteritis, but may be present in enteritis caused by other ''E. coli'' strains). Less common symptoms may be related to complications of E. coli enteritis, such as [[hemolytic uremic syndrome]], and may include [[bruising|spontaneous bruising]], [[oliguria]]/[[anuria]], and [[Hematuria|painless gross hematuria]]. | [[Symptom|Symptoms]] of [[Escherichia coli enteritis|''E. coli'' enteritis]] include [[diarrhea]] (either [[watery diarrhea|watery]] or [[bloody diarrhea|bloody]]), [[nausea]], [[vomiting]], [[abdominal pain]], and [[bloating]] with or without [[fever]] ([[fever]] is characteristically absent in [[EHEC]] enteritis, but may be present in the enteritis caused by other ''[[Escherichia coli|E. coli]]'' [[Strain (biology)|strains]]). Less common [[Symptom|symptoms]] may be related to [[Complication (medicine)|complications]] of [[Escherichia coli enteritis|E. coli enteritis]], such as [[hemolytic uremic syndrome]], and may include [[bruising|spontaneous bruising]], [[oliguria]]/[[anuria]], and [[Hematuria|painless gross hematuria]]. | ||
==History== | ==History== | ||
History-taking for patients with ''E. coli'' enteritis should focus on risk factors for the transmission of pathogenic ''E. coli'' and development of enteritis: | History-taking for [[Patient|patients]] with [[Escherichia coli enteritis|''E. coli'' enteritis]] should focus on [[Risk factor|risk factors]] for the [[Transmission (medicine)|transmission]] of [[pathogenic]] ''[[E. coli]]'' and development of enteritis: | ||
*Immunocompromised status | *[[Immunodeficiency|Immunocompromised]] status | ||
*Pregnancy | *[[Pregnancy]] | ||
*Recent ingestion of uncooked or poorly handled vegetables, meat | *Recent [[ingestion]] of uncooked or poorly handled [[Vegetable|vegetables]], meat, [[poultry]], [[raw milk]], or poorly stored [[Food|foods]] that require [[refrigeration]] (e.g. [[mayonnaise]]) | ||
:*Enterohemorrhagic ''E. coli'' O157:H7 is commonly associated with ingestion of ground beef (e.g. in hamburgers) or alfalfa sprouts | :*[[Enterohemorrhagic Escherichica coli|Enterohemorrhagic ''E. coli'']] O157:H7 is commonly associated with [[ingestion]] of ground [[beef]] (e.g. in hamburgers) or [[alfalfa]] sprouts | ||
*Recent drinking from untreated water (e.g. stream or well) | *Recent drinking from untreated [[water]] (e.g. stream or well) | ||
*Recent travel to developing countries | *Recent travel to developing countries | ||
:* | :*[[Enterotoxigenic Escherichia coli|Enterotoxigenic ''E. coli'']] is the most common cause of [[traveler's diarrhea]] | ||
*Exposure to daycare | *Exposure to daycare | ||
*Exposure to healthcare settings (e.g. nursing homes or hospitals) | *Exposure to [[Health care|healthcare]] settings (e.g. [[Nursing home|nursing homes]] or [[Hospital|hospitals]]) | ||
*Exposure to contacts with similar symptoms | *Exposure to contacts with similar [[Symptom|symptoms]] | ||
*Recent history of receptive anal or oral-anal contact | *Recent history of receptive [[Anus|anal]] or [[Mouth|oral]]-[[Anus|anal]] contact | ||
==Symptoms== | ==Symptoms== | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of ''E. coli'' enteritis include: | Common [[Symptom|symptoms]] of [[Escherichia coli enteritis|''E. coli'' enteritis]] include: | ||
*Sudden-onset, mild/severe [[diarrhea]] that may either be watery or bloody | *Sudden-onset, mild/severe [[diarrhea]] that may either be watery or bloody | ||
:*[[Watery diarrhea|Watery]] (non-inflammatory): ETEC, EPEC, EAEC, and DAEC. Of note, EIEC may cause watery diarrhea, but it is classically associated with bloody diarrhea. | :*[[Watery diarrhea|Watery]] (non-inflammatory): [[ETEC]], [[EPEC]], [[EAEC]], and [[DAEC]]. Of note, [[EIEC]] may cause [[Diarrhea|watery diarrhea]], but it is classically associated with [[Dysentery|bloody diarrhea]]. | ||
:*[[Bloody diarrhea|Bloody]] (inflammatory): EHEC, EIEC. Of note, EPEC and EAEC may cause bloody diarrhea, but they are classically associated with watery diarrhea. | :*[[Bloody diarrhea|Bloody]] ([[Inflammation|inflammatory]]): [[EHEC]], [[EIEC]]. Of note, [[EPEC]] and [[EAEC]] may cause [[Dysentery|bloody diarrhea]], but they are classically associated with [[Diarrhea|watery diarrhea]]. | ||
*[[Bloating]] | *[[Bloating]] | ||
*[[Abdominal pain|Diffuse, cramping abdominal pain]] | *[[Abdominal pain|Diffuse, cramping abdominal pain]] | ||
*[[Anorexia]] | *[[Anorexia]] | ||
*[[Nausea]] | *[[Nausea]] | ||
*[[Vomiting]] (less common in ''E. coli enteritis'' than in viral gastroenteritis) | *[[Vomiting]] (less common in ''[[Escherichia coli enteritis|E. coli enteritis]]'' than in [[viral gastroenteritis]]) | ||
*[[Tenesmus]] | *[[Tenesmus]] | ||
*[[Thirst]] | *[[Thirst]] | ||
*[[Dizziness]] | *[[Dizziness]] | ||
*[[Fever]] is characteristically absent in ''E. coli enteritis'' caused by EHEC, but may sometimes be present in enteritis caused by other ''E. coli'' strains | *[[Fever]] is characteristically absent in ''[[Escherichia coli enteritis|E. coli enteritis]]'' caused by [[EHEC]], but may sometimes be present in enteritis caused by other ''[[Escherichia coli|E. coli]]'' [[Strain (biology)|strains]] | ||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of ''E. coli'' enteritis are related to the development of complications, such as hemolytic uremic syndrome. Symptoms include: | Less common [[Symptom|symptoms]] of [[Escherichia coli enteritis|''E. coli'' enteritis]] are related to the development of [[Complication (medicine)|complications]], such as [[Hemolytic-uremic syndrome|hemolytic uremic syndrome]]. [[Symptom|Symptoms]] include: | ||
*[[Bruising|Spontaneous bruising]] | *[[Bruising|Spontaneous bruising]] | ||
*[[Hematuria|Painless gross hematuria]] | *[[Hematuria|Painless gross hematuria]] | ||
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{{reflist|2}} | {{reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
Latest revision as of 00:05, 18 December 2018
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Escherichia coli enteritis Microchapters |
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Differentiating Escherichia coli enteritis from other Diseases |
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Diagnosis |
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Treatment |
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Escherichia coli enteritis history and symptoms On the Web |
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American Roentgen Ray Society Images of Escherichia coli enteritis history and symptoms |
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Risk calculators and risk factors for Escherichia coli enteritis history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Serge Korjian M.D., Yazan Daaboul, M.D.
Overview
Symptoms of E. coli enteritis include diarrhea (either watery or bloody), nausea, vomiting, abdominal pain, and bloating with or without fever (fever is characteristically absent in EHEC enteritis, but may be present in the enteritis caused by other E. coli strains). Less common symptoms may be related to complications of E. coli enteritis, such as hemolytic uremic syndrome, and may include spontaneous bruising, oliguria/anuria, and painless gross hematuria.
History
History-taking for patients with E. coli enteritis should focus on risk factors for the transmission of pathogenic E. coli and development of enteritis:
- Immunocompromised status
- Pregnancy
- Recent ingestion of uncooked or poorly handled vegetables, meat, poultry, raw milk, or poorly stored foods that require refrigeration (e.g. mayonnaise)
- Enterohemorrhagic E. coli O157:H7 is commonly associated with ingestion of ground beef (e.g. in hamburgers) or alfalfa sprouts
- Recent drinking from untreated water (e.g. stream or well)
- Recent travel to developing countries
- Enterotoxigenic E. coli is the most common cause of traveler's diarrhea
- Exposure to daycare
- Exposure to healthcare settings (e.g. nursing homes or hospitals)
- Exposure to contacts with similar symptoms
- Recent history of receptive anal or oral-anal contact
Symptoms
Common Symptoms
Common symptoms of E. coli enteritis include:
- Sudden-onset, mild/severe diarrhea that may either be watery or bloody
- Watery (non-inflammatory): ETEC, EPEC, EAEC, and DAEC. Of note, EIEC may cause watery diarrhea, but it is classically associated with bloody diarrhea.
- Bloody (inflammatory): EHEC, EIEC. Of note, EPEC and EAEC may cause bloody diarrhea, but they are classically associated with watery diarrhea.
- Bloating
- Diffuse, cramping abdominal pain
- Anorexia
- Nausea
- Vomiting (less common in E. coli enteritis than in viral gastroenteritis)
- Tenesmus
- Thirst
- Dizziness
- Fever is characteristically absent in E. coli enteritis caused by EHEC, but may sometimes be present in enteritis caused by other E. coli strains
Less Common Symptoms
Less common symptoms of E. coli enteritis are related to the development of complications, such as hemolytic uremic syndrome. Symptoms include: