Acute diarrhea causes: Difference between revisions
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==Overview== | ==Overview== | ||
Common causes of acute [[diarrhea]] in both developing and developed nations are infections. Infectious agents responsible for majority of cases include [[Norovirus]], [[Salmonella]], [[Shigella]], [[Clostridium perfringens]], [[Staphylococcus aureus]], Rotavirus, [[Shigella]], [[ETEC|Enterotoxigenic E.coli]] ([[ETEC]]), [[Campylobacter]] and [[Cryptosporidium parvum]]. Less commonly, acute diarrhea may be be caused by [[Norwalk virus|Norwalk viruses]] or may be associated with systemic infections including [[influenza]], [[Urinary tract infection|urinary tract infections]], and [[HIV AIDS|HIV infection]]. Other common causes of acute diarrhea include [[Food allergy|food allergies]] and drug side effects. Less commonly, acute [[diarrhea]] can be a symptom | Common causes of acute [[diarrhea]] in both developing and developed nations are [[infections]]. [[Infectious]] agents responsible for majority of cases include [[Norovirus]], [[Salmonella]], [[Shigella]], [[Clostridium perfringens]], [[Staphylococcus aureus]], Rotavirus, [[Shigella]], [[ETEC|Enterotoxigenic E.coli]] ([[ETEC]]), [[Campylobacter]] and [[Cryptosporidium parvum]]. Less commonly, acute diarrhea may be be caused by [[Norwalk virus|Norwalk viruses]] or may be associated with [[Systemic infection|systemic infections]] including [[influenza]], [[Urinary tract infection|urinary tract infections]], and [[HIV AIDS|HIV infection]]. Other common causes of acute diarrhea include [[Food allergy|food allergies]] and drug side effects. Less commonly, acute [[diarrhea]] can be a [[symptom]] of the initial stages of systemic conditions including [[Ischemic colitis]], [[hyperthyroidism]], [[tropical sprue]] and with disorders of [[digestion]] and the [[absorption]]. | ||
==Causes== | ==Causes== | ||
Causes of acute diarrhea based on [[Infection|infectious agents]] are enlisted below. Common causes of diarrhea differ based on geographical location, food hygiene standards, sanitation, water supply, and the season. <ref name="pmid29344358">{{cite journal |vauthors=Mokomane M, Kasvosve I, de Melo E, Pernica JM, Goldfarb DM |title=The global problem of childhood diarrhoeal diseases: emerging strategies in prevention and management |journal=Ther Adv Infect Dis |volume=5 |issue=1 |pages=29–43 |year=2018 |pmid=29344358 |pmc=5761924 |doi=10.1177/2049936117744429 |url=}}</ref><ref name="pmid19450323">{{cite journal |vauthors=de Bruyn G |title=Diarrhoea in adults (acute) |journal=BMJ Clin Evid |volume=2008 |issue= |pages= |year=2008 |pmid=19450323 |pmc=2907942 |doi= |url=}}</ref><ref name="pmid29262044">{{cite journal |vauthors=Chiejina M, Samant H |title= |journal= |volume= |issue= |pages= |year= |pmid=29262044 |doi= |url=}}</ref><ref name="pmid21726481">{{cite journal |vauthors=Dalby-Payne JR, Elliott EJ |title=Gastroenteritis in children |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=21726481 |pmc=2907797 |doi= |url=}}</ref><ref name="pmid23680352">{{cite journal |vauthors=Kotloff KL, Nataro JP, Blackwelder WC, Nasrin D, Farag TH, Panchalingam S, Wu Y, Sow SO, Sur D, Breiman RF, Faruque AS, Zaidi AK, Saha D, Alonso PL, Tamboura B, Sanogo D, Onwuchekwa U, Manna B, Ramamurthy T, Kanungo S, Ochieng JB, Omore R, Oundo JO, Hossain A, Das SK, Ahmed S, Qureshi S, Quadri F, Adegbola RA, Antonio M, Hossain MJ, Akinsola A, Mandomando I, Nhampossa T, Acácio S, Biswas K, O'Reilly CE, Mintz ED, Berkeley LY, Muhsen K, Sommerfelt H, Robins-Browne RM, Levine MM |title=Burden and aetiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, GEMS): a prospective, case-control study |journal=Lancet |volume=382 |issue=9888 |pages=209–22 |year=2013 |pmid=23680352 |doi=10.1016/S0140-6736(13)60844-2 |url=}}</ref><ref name="pmid23757337">{{cite journal |vauthors=Chhabra P, Payne DC, Szilagyi PG, Edwards KM, Staat MA, Shirley SH, Wikswo M, Nix WA, Lu X, Parashar UD, Vinjé J |title=Etiology of viral gastroenteritis in children <5 years of age in the United States, 2008-2009 |journal=J. Infect. Dis. |volume=208 |issue=5 |pages=790–800 |year=2013 |pmid=23757337 |doi=10.1093/infdis/jit254 |url=}}</ref><ref name="pmid10804140">{{cite journal |vauthors=Pang XL, Honma S, Nakata S, Vesikari T |title=Human caliciviruses in acute gastroenteritis of young children in the community |journal=J. Infect. Dis. |volume=181 Suppl 2 |issue= |pages=S288–94 |year=2000 |pmid=10804140 |doi=10.1086/315590 |url=}}</ref><ref name="pmid2007955">{{cite journal |vauthors=Cohen MB |title=Etiology and mechanisms of acute infectious diarrhea in infants in the United States |journal=J. Pediatr. |volume=118 |issue=4 Pt 2 |pages=S34–9 |year=1991 |pmid=2007955 |doi= |url=}}</ref><ref name="pmid26584048">{{cite journal |vauthors=Irikura D, Monma C, Suzuki Y, Nakama A, Kai A, Fukui-Miyazaki A, Horiguchi Y, Yoshinari T, Sugita-Konishi Y, Kamata Y |title=Identification and Characterization of a New Enterotoxin Produced by Clostridium perfringens Isolated from Food Poisoning Outbreaks |journal=PLoS ONE |volume=10 |issue=11 |pages=e0138183 |year=2015 |pmid=26584048 |pmc=4652906 |doi=10.1371/journal.pone.0138183 |url=}}</ref><ref name="pmid12826999">{{cite journal |vauthors=Surawicz CM |title=Antibiotic-associated diarrhea in children: how many dirty diapers? |journal=J. Pediatr. Gastroenterol. Nutr. |volume=37 |issue=1 |pages=2–3 |year=2003 |pmid=12826999 |doi= |url=}}</ref> | Causes of acute diarrhea based on [[Infection|infectious agents]] are enlisted below. Common causes of diarrhea differ based on geographical location, food hygiene standards, sanitation, water supply, and the season. The causes include the following:<ref name="pmid29344358">{{cite journal |vauthors=Mokomane M, Kasvosve I, de Melo E, Pernica JM, Goldfarb DM |title=The global problem of childhood diarrhoeal diseases: emerging strategies in prevention and management |journal=Ther Adv Infect Dis |volume=5 |issue=1 |pages=29–43 |year=2018 |pmid=29344358 |pmc=5761924 |doi=10.1177/2049936117744429 |url=}}</ref><ref name="pmid19450323">{{cite journal |vauthors=de Bruyn G |title=Diarrhoea in adults (acute) |journal=BMJ Clin Evid |volume=2008 |issue= |pages= |year=2008 |pmid=19450323 |pmc=2907942 |doi= |url=}}</ref><ref name="pmid29262044">{{cite journal |vauthors=Chiejina M, Samant H |title= |journal= |volume= |issue= |pages= |year= |pmid=29262044 |doi= |url=}}</ref><ref name="pmid21726481">{{cite journal |vauthors=Dalby-Payne JR, Elliott EJ |title=Gastroenteritis in children |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=21726481 |pmc=2907797 |doi= |url=}}</ref><ref name="pmid23680352">{{cite journal |vauthors=Kotloff KL, Nataro JP, Blackwelder WC, Nasrin D, Farag TH, Panchalingam S, Wu Y, Sow SO, Sur D, Breiman RF, Faruque AS, Zaidi AK, Saha D, Alonso PL, Tamboura B, Sanogo D, Onwuchekwa U, Manna B, Ramamurthy T, Kanungo S, Ochieng JB, Omore R, Oundo JO, Hossain A, Das SK, Ahmed S, Qureshi S, Quadri F, Adegbola RA, Antonio M, Hossain MJ, Akinsola A, Mandomando I, Nhampossa T, Acácio S, Biswas K, O'Reilly CE, Mintz ED, Berkeley LY, Muhsen K, Sommerfelt H, Robins-Browne RM, Levine MM |title=Burden and aetiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, GEMS): a prospective, case-control study |journal=Lancet |volume=382 |issue=9888 |pages=209–22 |year=2013 |pmid=23680352 |doi=10.1016/S0140-6736(13)60844-2 |url=}}</ref><ref name="pmid23757337">{{cite journal |vauthors=Chhabra P, Payne DC, Szilagyi PG, Edwards KM, Staat MA, Shirley SH, Wikswo M, Nix WA, Lu X, Parashar UD, Vinjé J |title=Etiology of viral gastroenteritis in children <5 years of age in the United States, 2008-2009 |journal=J. Infect. Dis. |volume=208 |issue=5 |pages=790–800 |year=2013 |pmid=23757337 |doi=10.1093/infdis/jit254 |url=}}</ref><ref name="pmid10804140">{{cite journal |vauthors=Pang XL, Honma S, Nakata S, Vesikari T |title=Human caliciviruses in acute gastroenteritis of young children in the community |journal=J. Infect. Dis. |volume=181 Suppl 2 |issue= |pages=S288–94 |year=2000 |pmid=10804140 |doi=10.1086/315590 |url=}}</ref><ref name="pmid2007955">{{cite journal |vauthors=Cohen MB |title=Etiology and mechanisms of acute infectious diarrhea in infants in the United States |journal=J. Pediatr. |volume=118 |issue=4 Pt 2 |pages=S34–9 |year=1991 |pmid=2007955 |doi= |url=}}</ref><ref name="pmid26584048">{{cite journal |vauthors=Irikura D, Monma C, Suzuki Y, Nakama A, Kai A, Fukui-Miyazaki A, Horiguchi Y, Yoshinari T, Sugita-Konishi Y, Kamata Y |title=Identification and Characterization of a New Enterotoxin Produced by Clostridium perfringens Isolated from Food Poisoning Outbreaks |journal=PLoS ONE |volume=10 |issue=11 |pages=e0138183 |year=2015 |pmid=26584048 |pmc=4652906 |doi=10.1371/journal.pone.0138183 |url=}}</ref><ref name="pmid12826999">{{cite journal |vauthors=Surawicz CM |title=Antibiotic-associated diarrhea in children: how many dirty diapers? |journal=J. Pediatr. Gastroenterol. Nutr. |volume=37 |issue=1 |pages=2–3 |year=2003 |pmid=12826999 |doi= |url=}}</ref> | ||
==== Bacterial causes of diarrhea ==== | ==== Bacterial causes of diarrhea ==== | ||
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*[[Cytomegalovirus infection|CMV]] | *[[Cytomegalovirus infection|CMV]] | ||
*[[Astrovirus]] | *[[Astrovirus]] | ||
*Norwalk virus | *[[Norwalk virus]] | ||
'''Protozoa''' | '''Protozoa''' | ||
* [[Entamoeba histolytica]] | * [[Entamoeba histolytica]] | ||
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*[[Sucrase-isomaltase deficiency]] | *[[Sucrase-isomaltase deficiency]] | ||
*Late-onset (adult-type) [[Lactose intolerance|hypolactasia]], leads to [[lactose intolerance]] | *Late-onset (adult-type) [[Lactose intolerance|hypolactasia]], leads to [[lactose intolerance]] | ||
''' | '''Medications''' | ||
*[[Antibiotic|Antibiotics]], mostly with [[Cephalosporin|Cephalosporins]] | *[[Antibiotic|Antibiotics]], mostly with [[Cephalosporin|Cephalosporins]] | ||
*[[Magnesium carbonate|Magnesium containing antacids]] | *[[Magnesium carbonate|Magnesium containing antacids]] | ||
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'''Opium withdrawal''' | '''Opium withdrawal''' | ||
===Life | ===Life threatening causes=== | ||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | ||
{{MultiCol|80%}} | {{MultiCol|80%}} | ||
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*[[Digoxin warnings and precautions|Digoxin toxicity]] | *[[Digoxin warnings and precautions|Digoxin toxicity]] | ||
*[[Ergotism]] | *[[Ergotism]] | ||
*[[Food poisoning]] | *[[Food poisoning]] | ||
*[[Heavy metal poisoning]] | *[[Heavy metal poisoning]] | ||
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[[Interferon alfa-2b ]] , | [[Interferon alfa-2b ]] , | ||
[[interferon beta-1b]], | [[interferon beta-1b]], | ||
[[irinotecan | [[irinotecan]] hydrochloride, | ||
[[iron supplements]], | [[iron supplements]], | ||
[[isocarboxazid]], | [[isocarboxazid]], | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Up-To-Date]] |
Latest revision as of 20:15, 29 July 2020
Acute Diarrhea Microchapters |
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Acute diarrhea causes On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [2] Sudarshana Datta, MD [3]
Overview
Common causes of acute diarrhea in both developing and developed nations are infections. Infectious agents responsible for majority of cases include Norovirus, Salmonella, Shigella, Clostridium perfringens, Staphylococcus aureus, Rotavirus, Shigella, Enterotoxigenic E.coli (ETEC), Campylobacter and Cryptosporidium parvum. Less commonly, acute diarrhea may be be caused by Norwalk viruses or may be associated with systemic infections including influenza, urinary tract infections, and HIV infection. Other common causes of acute diarrhea include food allergies and drug side effects. Less commonly, acute diarrhea can be a symptom of the initial stages of systemic conditions including Ischemic colitis, hyperthyroidism, tropical sprue and with disorders of digestion and the absorption.
Causes
Causes of acute diarrhea based on infectious agents are enlisted below. Common causes of diarrhea differ based on geographical location, food hygiene standards, sanitation, water supply, and the season. The causes include the following:[1][2][3][4][5][6][7][8][9][10]
Bacterial causes of diarrhea
- Shigella species ( S.dysentriae, S.flexneri, S.sonneii, S.boydii)
- Vibrio cholerae
- Non-typhoidal Salmonella: S.typhimurium, S.enterica
- Campylobacter jejuni
- Clostridium difficile: Antibiotic associated diarrhea (eg: Amoxicillin with clavulanic acid, Clindamycin, Cephalosporins)
- Yersinia enterocolitica
- Aeromonas
- Sepsis:
- Hemolytic uraemic syndrome (Shiga toxin producing E. coli ETEC)
- Shigella species
- Clostridium difficile
- Campylobacter jejuni
- Escherichia coli:
- Vibrio parahemolyticus
- Aeromonas
- Plesiomonas shigelloides
- Mycobacterium Avium complex
- Bacillus cereus
- Clostridium perfringens
- Listeria monocytogenes
Viral causes of diarrhea
- Rotavirus
- Norovirus
- Adenovirus
- Astrovirus
- Calcivirus
- Influenza virus
- Human immunodeficiency virus
- CMV
- Astrovirus
- Norwalk virus
Protozoa
Systemic infections
- Sepsis
- Urinary tract infection
- Appendicitis
- Intussusception
- Short bowel syndrome
- Radiation enteritis
- Chemotherapy induced enteritis
- Hyperthyroidism
- Irritable bowel syndrome
- Tropical sprue
- Ischemic colitis
- VIPoma
- Infectious colitis
Disorders of digestive/absorptive processes
- Glucose-galactose malabsorption
- Sucrase-isomaltase deficiency
- Late-onset (adult-type) hypolactasia, leads to lactose intolerance
Medications
- Antibiotics, mostly with Cephalosporins
- Magnesium containing antacids
- Laxatives
- Antiretroviral agents
- Chemotherapeutic agents
- Antifungals
- Digoxin
- Lactulose
Ingestion of plants (eg, hyacinths, daffodils, Amanita species mushrooms)
Food allergies
- Cow's milk protein allergy
- Soy protein allergy
Organophosphate poisoning
Opium withdrawal
Life threatening causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Causes by Organ System
Causes in Alphabetical Order
References
- ↑ Mokomane M, Kasvosve I, de Melo E, Pernica JM, Goldfarb DM (2018). "The global problem of childhood diarrhoeal diseases: emerging strategies in prevention and management". Ther Adv Infect Dis. 5 (1): 29–43. doi:10.1177/2049936117744429. PMC 5761924. PMID 29344358.
- ↑ de Bruyn G (2008). "Diarrhoea in adults (acute)". BMJ Clin Evid. 2008. PMC 2907942. PMID 19450323.
- ↑ Chiejina M, Samant H. PMID 29262044. Missing or empty
|title=
(help) - ↑ Dalby-Payne JR, Elliott EJ (2009). "Gastroenteritis in children". BMJ Clin Evid. 2009. PMC 2907797. PMID 21726481.
- ↑ Kotloff KL, Nataro JP, Blackwelder WC, Nasrin D, Farag TH, Panchalingam S, Wu Y, Sow SO, Sur D, Breiman RF, Faruque AS, Zaidi AK, Saha D, Alonso PL, Tamboura B, Sanogo D, Onwuchekwa U, Manna B, Ramamurthy T, Kanungo S, Ochieng JB, Omore R, Oundo JO, Hossain A, Das SK, Ahmed S, Qureshi S, Quadri F, Adegbola RA, Antonio M, Hossain MJ, Akinsola A, Mandomando I, Nhampossa T, Acácio S, Biswas K, O'Reilly CE, Mintz ED, Berkeley LY, Muhsen K, Sommerfelt H, Robins-Browne RM, Levine MM (2013). "Burden and aetiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, GEMS): a prospective, case-control study". Lancet. 382 (9888): 209–22. doi:10.1016/S0140-6736(13)60844-2. PMID 23680352.
- ↑ Chhabra P, Payne DC, Szilagyi PG, Edwards KM, Staat MA, Shirley SH, Wikswo M, Nix WA, Lu X, Parashar UD, Vinjé J (2013). "Etiology of viral gastroenteritis in children <5 years of age in the United States, 2008-2009". J. Infect. Dis. 208 (5): 790–800. doi:10.1093/infdis/jit254. PMID 23757337.
- ↑ Pang XL, Honma S, Nakata S, Vesikari T (2000). "Human caliciviruses in acute gastroenteritis of young children in the community". J. Infect. Dis. 181 Suppl 2: S288–94. doi:10.1086/315590. PMID 10804140.
- ↑ Cohen MB (1991). "Etiology and mechanisms of acute infectious diarrhea in infants in the United States". J. Pediatr. 118 (4 Pt 2): S34–9. PMID 2007955.
- ↑ Irikura D, Monma C, Suzuki Y, Nakama A, Kai A, Fukui-Miyazaki A, Horiguchi Y, Yoshinari T, Sugita-Konishi Y, Kamata Y (2015). "Identification and Characterization of a New Enterotoxin Produced by Clostridium perfringens Isolated from Food Poisoning Outbreaks". PLoS ONE. 10 (11): e0138183. doi:10.1371/journal.pone.0138183. PMC 4652906. PMID 26584048.
- ↑ Surawicz CM (2003). "Antibiotic-associated diarrhea in children: how many dirty diapers?". J. Pediatr. Gastroenterol. Nutr. 37 (1): 2–3. PMID 12826999.