Salmonellosis differential diagnosis: Difference between revisions
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==Overview== | |||
[[Salmonellosis]] must be differentiated from other types of infectious diseases that can cause acute inflammatory [[diarrhea]]. It is important to consider other underlying pathogens including ''[[Shigella]]'', ''[[Campylobacter]]'', ''[[E.coli]]'', ''[[C. difficile]]'', and ''[[E. histolytica]]''.<ref name="pmid14702426">{{cite journal| author=Thielman NM, Guerrant RL| title=Clinical practice. Acute infectious diarrhea. | journal=N Engl J Med | year= 2004 | volume= 350 | issue= 1 | pages= 38-47 | pmid=14702426 | doi=10.1056/NEJMcp031534 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14702426 }} </ref> | |||
==Differentiating Salmonellosis from Other Diseases== | ==Differentiating Salmonellosis from Other Diseases== | ||
Salmonellosis should be differentiated from other pathogens that lead to acute inflammatory diarrhea:<ref name="pmid14702426">{{cite journal| author=Thielman NM, Guerrant RL| title=Clinical practice. Acute infectious diarrhea. | journal=N Engl J Med | year= 2004 | volume= 350 | issue= 1 | pages= 38-47 | pmid=14702426 | doi=10.1056/NEJMcp031534 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14702426 }} </ref><ref name="pmid15537721">{{cite journal| author=Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA| title=Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study. | journal=J Trop Pediatr | year= 2004 | volume= 50 | issue= 6 | pages= 354-6 | pmid=15537721 | doi=10.1093/tropej/50.6.354 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15537721 }} </ref> | Salmonellosis should be differentiated from other pathogens that lead to acute inflammatory diarrhea. The table below lists the underlying pathogens known to cause acute inflammatory diarrhea:<ref name="pmid14702426">{{cite journal| author=Thielman NM, Guerrant RL| title=Clinical practice. Acute infectious diarrhea. | journal=N Engl J Med | year= 2004 | volume= 350 | issue= 1 | pages= 38-47 | pmid=14702426 | doi=10.1056/NEJMcp031534 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14702426 }} </ref><ref name="pmid15537721">{{cite journal| author=Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA| title=Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study. | journal=J Trop Pediatr | year= 2004 | volume= 50 | issue= 6 | pages= 354-6 | pmid=15537721 | doi=10.1093/tropej/50.6.354 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15537721 }} </ref> | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | Escherichia coli | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Foodborne transmission, ingestion of undercooked hamburger meat | | style="padding: 5px 5px; background: #F5F5F5;" | Foodborne transmission, ingestion of undercooked hamburger meat | ||
! style="padding: 5px 5px; background: #F5F5F5;" | | ! style="padding: 5px 5px; background: #F5F5F5;" | - | ||
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! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + (EHEC or EIEC), - (ETEC, EAEC, EPEC) | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Clostridium difficile]]'' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Clostridium difficile]]'' | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Yersinia]]'' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Yersinia]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Community- | | style="padding: 5px 5px; background: #F5F5F5;" | Community-acquired, foodborne transmission | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
Latest revision as of 18:41, 18 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jolanta Marszalek, M.D. [2]
Overview
Salmonellosis must be differentiated from other types of infectious diseases that can cause acute inflammatory diarrhea. It is important to consider other underlying pathogens including Shigella, Campylobacter, E.coli, C. difficile, and E. histolytica.[1]
Differentiating Salmonellosis from Other Diseases
Salmonellosis should be differentiated from other pathogens that lead to acute inflammatory diarrhea. The table below lists the underlying pathogens known to cause acute inflammatory diarrhea:[1][2]
| Pathogen | Transmission | Clinical Manifestations | |||
|---|---|---|---|---|---|
| Fever | Nausea/Vomiting | Abdominal Pain | Bloody Stool | ||
| Salmonella | Foodborne transmission, community-acquired | ++ | + | ++ | + |
| Shigella | Community-acquired, person-to-person | ++ | ++ | ++ | + |
| Campylobacter | Community-acquired, ingestion of undercooked poultry | ++ | + | ++ | + |
| Escherichia coli | Foodborne transmission, ingestion of undercooked hamburger meat | - | + | ++ | + (EHEC or EIEC), - (ETEC, EAEC, EPEC) |
| Clostridium difficile | Nosocomial spread, antibiotic use | + | ± | + | + |
| Yersinia | Community-acquired, foodborne transmission | ++ | + | ++ | + |
| Entamoeba histolytica | Travel to or emigration from tropical regions | + | ± | + | ± |
| Aeromonas | Ingestion of contaminated water | ++ | + | ++ | + |
| Plesiomonas | Ingestion of contaminated water or undercooked shellfish, travel to tropical regions | ± | ++ | + | + |
References
- ↑ 1.0 1.1 Thielman NM, Guerrant RL (2004). "Clinical practice. Acute infectious diarrhea". N Engl J Med. 350 (1): 38–47. doi:10.1056/NEJMcp031534. PMID 14702426.
- ↑ Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA (2004). "Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study". J Trop Pediatr. 50 (6): 354–6. doi:10.1093/tropej/50.6.354. PMID 15537721.