Acute diarrhea causes: Difference between revisions

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__NOTOC__
__NOTOC__
{{Acute diarrhea}}
{{Acute diarrhea}}
{{CMG}}; {{AE}} {{CK}}
{{CMG}}; {{AE}} {{CK}} {{Cherry}}
==Overview==
==Overview==
* The causes of acute  diarrhea are based on .
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]].
* Common causes of acute [[diarrhea]] in children in both developing and developed nations are infections. Infectious gastroenterits is most commonly caused by [[Rota virus]], [[Shigella]], Enterotoxigenic E.coli [[ETEC]] , Campylobacter, Cryptosporidium parvum. Less commonly, acute diarrhea in children can be caused by Norwalk like viruses, can be associated with systemic infections including Influenza, UTI, Otitis media, HIV infection.


* Common causes of acute [[diarrhea]] in adults is also Infectious gastroenterits, commonly caused by [[Noro virus]], [[Salmonella]], [[Shigella]], [[Clostridium perfringens]], [[Staphylococcus aureus]]. Other common causes are food allergies, drug side effects. Less commonly acute [[diarrhea]] can be a symptom in the initial stages of systemic conditions including [[Ischemic colitis]], [[Hyperthyroidism]], [[Tropical sprue]]  and with disorders of digestion and absorption process.
==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]]  
* [[Cryptosporidium parvum]]
* [[Cryptosporidium parvum]]
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* [[VIPoma]]
* [[VIPoma]]
* [[Infectious colitis]]
* [[Infectious colitis]]
'''Disorders of digestive/absorptive processes''':
'''Disorders of digestive/absorptive processes'''
*[[Glucose-galactose malabsorption]]
*[[Glucose-galactose malabsorption]]
*[[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]]  
'''Medicatons''':
'''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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'''Ingestion of plants''' (eg, hyacinths, daffodils, [[Amanita|Amanita species mushrooms]])
'''Ingestion of plants''' (eg, hyacinths, daffodils, [[Amanita|Amanita species mushrooms]])


'''Food allergies''':
'''Food allergies'''
*Cow's milk protein allergy
*Cow's milk protein allergy
*Soy protein allergy
*Soy protein allergy
Line 95: Line 93:


'''Opium withdrawal'''
'''Opium withdrawal'''
===Life Threatening Causes===
===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]]
{{ColBreak}}
*[[Food poisoning]]
*[[Food poisoning]]
*[[Heavy metal poisoning]]
*[[Heavy metal poisoning]]
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{{EndMultiCol}}
{{EndMultiCol}}
===Causes by Organ System===
===Causes by Organ System===
{|style="width:80%; height:100px" border="1"
{| style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
| style="width:25%" bgcolor="LightSteelBlue" ; border="1" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Portal vein thrombosis]], [[superior mesenteric artery syndrome]]
| style="width:75%" bgcolor="Beige" ; border="1" | [[Portal vein thrombosis]], [[superior mesenteric artery syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
| '''Chemical / poisoning'''
|bgcolor="Beige"|  
| bgcolor="Beige" |  
[[Acrodynia]],
[[Acrodynia]],
[[Amlodipine besylate and Atorvastatin calcium trihydrate]],
[[Amlodipine besylate and Atorvastatin calcium trihydrate]],
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[[thallium|thallium toxicity]]
[[thallium|thallium toxicity]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Dermatologic'''
| '''Dermatologic'''
|bgcolor="Beige"| [[Acrodermatitis enteropathica]], [[necrotizing fasciitis]]
| bgcolor="Beige" | [[Acrodermatitis enteropathica]], [[necrotizing fasciitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"|
| bgcolor="Beige" |
[[Ambenonium]],
[[Ambenonium]],
[[2C-B]],
[[2C-B]],
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[[Imiglucerase]]
[[Imiglucerase]]
[[infliximab]],
[[infliximab]],
[[interferon alfacon-1 ]],  
[[interferon alfacon-1 ]] ,  
[[Interferon alfa-2b ]] ,
[[Interferon alfa-2b ]] ,
[[interferon beta-1b]],
[[interferon beta-1b]],
[[irinotecan hydrochloride]],
[[irinotecan]] hydrochloride,
[[iron supplements]],
[[iron supplements]],
[[isocarboxazid]],
[[isocarboxazid]],
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[[Zoledronate]]
[[Zoledronate]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
| '''Ear Nose Throat'''
|bgcolor="Beige"| [[Otitis media|Otitis media in children]]
| bgcolor="Beige" | [[Otitis media|Otitis media in children]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Endocrine'''
| '''Endocrine'''
|bgcolor="Beige"|  
| bgcolor="Beige" |  
[[Addison's disease]],
[[Addison's disease]],
[[carcinoid syndrome]],
[[carcinoid syndrome]],
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[[subacute thyroiditis]]
[[subacute thyroiditis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Environmental'''
| '''Environmental'''
|bgcolor="Beige"| [[List of poisonous plants|Abrus precatorious]], [[agastache rugosa]], [[alchornea castaneifolia]], [[Amanita phalloides|amanita phalloides poisoning]], [[amnesic shellfish poisoning]], [[Azalea|azalea poisoning]], [[Bee sting|bee stings]], [[datura stramonium|datura stramonium poisoning]], [[endosulfan|endosulfan toxication]], [[food poisoning]], [[Herbal extract|herbal extract overdose]], [[Grayanotoxin|honey intoxication]], [[Insect bites and stings|insect bite allergy]], [[isomalt|isomalt toxicity]], [[lycorine]], [[marine toxins]], [[mushroom poisoning]], [[narcissus pseudonarcissus]], [[oleander poisoning]], [[pesticide poisoning]], [[phytohaemagglutinin|phytohaemagglutinin poisoning]], [[phytolacca americana#toxicity|phytolacca americana toxicity]], [[ricin|ricinus communis poisoning]], [[snakebites]], [[solanine|solanine poisoning]]
| bgcolor="Beige" | [[List of poisonous plants|Abrus precatorious]], [[agastache rugosa]], [[alchornea castaneifolia]], [[Amanita phalloides|amanita phalloides poisoning]], [[amnesic shellfish poisoning]], [[Azalea|azalea poisoning]], [[Bee sting|bee stings]], [[datura stramonium|datura stramonium poisoning]], [[endosulfan|endosulfan toxication]], [[food poisoning]], [[Herbal extract|herbal extract overdose]], [[Grayanotoxin|honey intoxication]], [[Insect bites and stings|insect bite allergy]], [[isomalt|isomalt toxicity]], [[lycorine]], [[marine toxins]], [[mushroom poisoning]], [[narcissus pseudonarcissus]], [[oleander poisoning]], [[pesticide poisoning]], [[phytohaemagglutinin|phytohaemagglutinin poisoning]], [[phytolacca americana#toxicity|phytolacca americana toxicity]], [[ricin|ricinus communis poisoning]], [[snakebites]], [[solanine|solanine poisoning]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"|  
| bgcolor="Beige" |  
[[Abdominal abscess]],
[[Abdominal abscess]],
[[abdominal cancer]],
[[abdominal cancer]],
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[[Zollinger-Ellison syndrome]]
[[Zollinger-Ellison syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Genetic'''
| '''Genetic'''
|bgcolor="Beige"|  
| bgcolor="Beige" |  
[[3-hydroxyacyl-coenzyme A dehydrogenase deficiency]],
[[3-hydroxyacyl-coenzyme A dehydrogenase deficiency]],
[[3-methylcrotonyl-CoA carboxylase deficiency]],
[[3-methylcrotonyl-CoA carboxylase deficiency]],
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[[X-linked agammaglobulinaemia]]
[[X-linked agammaglobulinaemia]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"|
| bgcolor="Beige" |
[[Amyloidosis]],
[[Amyloidosis]],
[[hereditary angioedema|C1 esterase inhibitor]],
[[hereditary angioedema|C1 esterase inhibitor]],
Line 909: Line 907:


|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"|
| bgcolor="Beige" |
[[Adjustable gastric band]],
[[Adjustable gastric band]],
[[colonoscopy]],
[[colonoscopy]],
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[[vaccination]]
[[vaccination]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"|  
| bgcolor="Beige" |  
[[Adenophorea]],
[[Adenophorea]],
[[adenoviridae]],
[[adenoviridae]],
Line 1,030: Line 1,028:
[[Whipple disease]], [[whipworm infection]], [[yersinia enterocolitica]]
[[Whipple disease]], [[whipworm infection]], [[yersinia enterocolitica]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"| [[Common migraine]], [[neuroblastoma]], [[Waterhouse-Friederichsen syndrome]]
| bgcolor="Beige" | [[Common migraine]], [[neuroblastoma]], [[Waterhouse-Friederichsen syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
| '''Nutritional / Metabolic'''
|bgcolor="Beige"|  
| bgcolor="Beige" |  
[[Folate deficiency]],
[[Folate deficiency]],
[[food allergies]],
[[food allergies]],
Line 1,055: Line 1,053:
[[zinc deficiency]]  
[[zinc deficiency]]  
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| [[Childbirth]], [[endometriosis]], [[neonatal sepsis]], [[ovarian cancer]], [[ovarian hyperstimulation syndrome]]
| bgcolor="Beige" | [[Childbirth]], [[endometriosis]], [[neonatal sepsis]], [[ovarian cancer]], [[ovarian hyperstimulation syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"|  
| bgcolor="Beige" |  
[[Adrenal tumor]],
[[Adrenal tumor]],
[[carcinoid syndrome]],
[[carcinoid syndrome]],
Line 1,082: Line 1,080:
[[Vipoma]],
[[Vipoma]],
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Opthalmologic'''
| '''Opthalmologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Overdose / Toxicity'''
| '''Overdose / Toxicity'''
|bgcolor="Beige"|
| bgcolor="Beige" |
[[Carbon monoxide toxicity]],
[[Carbon monoxide toxicity]],
[[carnitine overuse]],
[[carnitine overuse]],
Line 1,097: Line 1,095:
[[mazindol]]
[[mazindol]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Psychiatric'''
| '''Psychiatric'''
|bgcolor="Beige"| [[Anxiety-tension syndrome]], [[chronic fatigue syndrome]], [[dissociative disorder]], [[panic attack]]
| bgcolor="Beige" | [[Anxiety-tension syndrome]], [[chronic fatigue syndrome]], [[dissociative disorder]], [[panic attack]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| [[Anthrax]], [[cystic fibrosis]], [[systemic sclerosis|diffuse systemic sclerosis]], [[legionellosis]]
| bgcolor="Beige" | [[Anthrax]], [[cystic fibrosis]], [[systemic sclerosis|diffuse systemic sclerosis]], [[legionellosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
| '''Renal / Electrolyte'''
|bgcolor="Beige"| [[Acute kidney failure]], [[chronic renal failure]], [[hyperchloremia]]
| bgcolor="Beige" | [[Acute kidney failure]], [[chronic renal failure]], [[hyperchloremia]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"|
| bgcolor="Beige" |
[[Acquired angioedema]],
[[Acquired angioedema]],
[[Amyloidosis]],
[[Amyloidosis]],
Line 1,132: Line 1,130:
[[X-linked agammaglobulinaemia]]
[[X-linked agammaglobulinaemia]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Urologic'''
| '''Urologic'''
|bgcolor="Beige"| [[Proctitis]], [[Reiter’s syndrome]]
| bgcolor="Beige" | [[Proctitis]], [[Reiter’s syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"|  
| bgcolor="Beige" |  
[[Alcohol intoxication]],
[[Alcohol intoxication]],
[[alcohol withdrawal]],
[[alcohol withdrawal]],
Line 2,104: Line 2,102:
*[[Zolpidem]]
*[[Zolpidem]]
}}
}}
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Medicine]]
[[Category:Gastroenterology]]
[[Category:Up-To-Date]]

Latest revision as of 20:15, 29 July 2020

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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

Viral causes of diarrhea

Protozoa

Systemic infections

Disorders of digestive/absorptive processes

Medications

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

Cardiovascular Portal vein thrombosis, superior mesenteric artery syndrome
Chemical / poisoning

Acrodynia, Amlodipine besylate and Atorvastatin calcium trihydrate, acute zinc toxicity, arsenic poisoning, Azacitidine , Cabozantinib carbamate insecticide poisoning, carbon monoxide poisoning, chlordane toxicity, chloroform toxicity, copper toxicity, diazinon poisoning, glutaraldehyde toxicity, heavy metal poisoning, lead poisoning, mercury poisoning, metal fume fever, naphthalene poisoning, organophosphate poisoning, paraquat toxicity, selenium toxicity, thallium toxicity

Dermatologic Acrodermatitis enteropathica, necrotizing fasciitis
Drug Side Effect

Ambenonium, 2C-B, 5-HT3 antagonist, 5-methoxy-diisopropyl tryptamine, abacavir, Acamprosate calcium, acarbose, acebutolol, Acetylcysteine, acyclovir, acitretin, aconitine, adefovir, afatinib, alatrofloxacin, albendazole, aldesleukin, Alemtuzumab, alendronate, aliskiren, allopurinol, alosetron, alpha-amanitin, alpha-glucosidase inhibitor, alprazolam, altretamine, ambenonium chloride, amifostine, amiloride, aminocaproic acid, aminophylline, amlexanox, amlodipine, Amlodipine besylate and Atorvastatin calcium trihydrate, ammonium lauryl sulfate, amoxicillin, amphetamine, amphotericin B, amprenavir, amitriptyline, anadenanthera peregrina, anagrelide, anakinra, anastrozole, Anidulafungin, anisindione, Apremilast, aprepitant, atazanavir, atenolol, atorvastatin, atovaquone, Atropine, auranofin, azithromycin, aztreonam, bacitracin, baclofen, barium nitrate, barium sulfate, Basiliximab, Benzphetamine, benazepril, bentiromide, bepridil, betaxolol, Bethanechol chloride, bevacizumab, bezafibrate, bicalutamide, biguanide, bisacodyl, bisoprolol, bortezomib, Bosutinib, bromocriptine, brompheniramine, bumetanide, buspirone, busulfan, candesartan, capecitabine, carbamazepine, carbidopa, carboplatin, carvedilol, cefaclor, cefadroxil, cefamandole nafate, cefazolin, cefazolin, cefdinir, Cefditoren, cefepime, Cefixime, cefoperazone, cefotaxime, cefotetan disodium, cefoxitin, cefpodoxime, Cefprozil, Ceftaroline fosamil, ceftazidime, Ceftibuten, ceftizoxime, ceftriaxone, cefuroxime, cephalexin, cephradine, Ceritinib, cerivastatin, cetuximab, cevimeline, Chenodiol, chloral hydrate, chlorambucil, chlordiazepoxide, chlorodyne, chlorothiazide, chlorpheniramine, Chlorpropamide, chlorthalidone, cholestyramine, ciclosporin, cidofovir, cilostazol,, cinacalcet, cisapride, citalopram, cladribine, clamoxyquine, clarithromycin, clavulanic acid, clindamycin, clofarabine, clofibrate, clomipramine, clonazepam, clopidogrel, clorazepate, Conjugated estrogens/bazedoxifene, colchicine, colistimethate, conjugated estrogens, Crizotinib, cyclophosphamide, cyproheptadine, cytarabine, dactinomycin, dalfopristin, dantrolene, daptomycin, darbepoetin alfa, darifenacin, darunavir, dasatinib, daunorubicin, deferasirox, delavirdine, demeclocycline, Denileukin diftitox deracoxib, desoxyn, Dexchlorpheniramine, dextroamphetamine, dextromethorphan, diacerein, diazepam, diclofenac, dicloxacillin, didanosine, diflunisal, digitoxin, digoxin, diltiazem, dipyridamole, dirithromycin, disopyramide, docetaxel, dofetilide, dolasetron, donepezil, doripenem, doxorubicin, doxycycline, DTPA, duloxetine, Ecallantide, eculizumab, efavirenz, Elvitegravir, emtricitabine, Emtricitabine, Rilpivirine Hydrochloride, And Tenofovir Disoproxil Fumarate enalapril, endosulfan, enoxacin, entacapone, Epirubicin hydrochloride, eplerenone, epoetin alfa, ergotamine, erlotinib, Eliglustat, erythromycin, esomeprazole, estazolam, estradiol, ethacrynic acid, ethosuximide, etidronate, etodolac, etoposide, exemestane, exenatide, ezetimibe, famciclovir, famotidine, felbamate, Ferric oxyhydroxide, fexofenadine, floxuridine, foscarnet sodium, fluconazole, flucytosine, fludarabine, fluoride, fluorouracil, fluoxetine, flurazepam, Flurbiprofen, flutamide, fluticasone, fluvastatin, fluvoxamine, fosamprenavir, foscarnet, fosinopril, frovatriptan, fulvestrant, gabapentin, galantamine, ganciclovir, gatifloxacin, gefitinib, gemcitabine, gemeprost, gemfibrozil, glatiramer, Glipizide, Glyburide and Metformin, glycopyrrolate, granisetron, griseofulvin, guanethidine, guanfacine, hydralazine, hydrochlorothiazide, hydroxychloroquine, Hydroxyprogesterone caproate hydroxyurea, hyoscyamine, ibandronate, Ibritumomab Tiuxetan ibuprofen, idarubicin, Idelalisib, Idursulfase, imatinib, Imiglucerase infliximab, interferon alfacon-1 , Interferon alfa-2b , interferon beta-1b, irinotecan hydrochloride, iron supplements, isocarboxazid, isradipine, itraconazole, Ivacaftor, Ivermectin, Ixabepilone, ketoconazole, Ketorolac tromethamine, Lactulose, lamivudine, lamotrigine, lanreotide, lansoprazole, lanthanum,Lapatinib, leflunomide, lenalidomide, letrozole, leuprolide, levalbuterol, levetiracetam, Lenvatinib, levocarnitine, levodopa, levofloxacin, Linaclotide, Lincomycin Hydrochloride, linezolid, liothyronine sodium, lisinopril, lithium, lomefloxacin, lopinavir, loracarbef, loratadine, lorazepam, loxapine, magnesium hydroxide, mebendazole, mechlorethamine, meclofenamate, Mercaptopurine, mefenamic acid, mefloquine, megestrol, Meloxicam, meprobamate, mercaptopurine, meropenem, mesalazine, mesna, mesoridazine, Metirosine, metformin, methamphetamine, methenamine, methotrexate, methoxychlor, methsuximide, methyclothiazide, methylergonovine, methyprylon, metoclopramide, metolachlor, metolazone, metoprolol, metronidazole, Micafungin sodium, miconazole, mifepristone, miglitol, Miglustat, miltefosine minocycline, misoprostol, mitotane, mitoxantrone, moclobemide, modafinil, moexipril, moricizine, moxifloxacin, mycophenolate, nabumetone, nafcillin, naltrexone, naphthalene, naproxen and esomeprazole magnesium, natalizumab, natamycin, nateglinide, nelfinavir, nevirapine, Niacin/simvastatin, niclosamide, Nilotinib, Nintedanib, nizatidine, norfloxacin, nystatin, ofloxacin, Olsalazine, omalizumab, omeprazole, ondansetron, oseltamivir, oxaliplatin, oxazepam, oxcarbazepine, oxtriphylline, oxybutynin, Palbociclib, palivizumab, pancrelipase, Panitumumab, pantoprazole, Paromomycin sulfate, Paroxetine, Pasireotide, pegaspargase, peginterferon alfa-2a, peginterferon alfa-2b, pemetrexed, pemoline, penbutolol, penicillin, pentamidine, pentostatin, pergolide, perindopril, perphenazine, Pertuzumab, phenazopyridine, Phenoxymethylpenicillin, phentermine, pilocarpine, pimecrolimus, pimozide, Pirfenidone, piroxicam, Plerixafor, Potassium iodide, plicamycin, polythiazide, posaconazole, Potassium chloride, Potassium citrate, pramipexole, pramlintide, prazepam, praziquantel, prazosin, procainamide, procarbazine, promethazine, propafenone, propranolol, permethrin, protriptyline, pseudoephedrine, Pyrantel pamoate, pyridostigmine, quinapril, quinidine, quinupristin, rabeprazole, Radium chloride, ramipril, Ramucirumab, ranitidine, rasagiline, Rasburicase, repaglinide, reserpine, retapamulin, ribavirin, rifabutin, rifampin, rilmenidine, riluzole, risedronate, risperidone, ritonavir, rituximab, rivastigmine, rizatriptan, Riluzole, roflumilast, Sacrosidase, salsalate, saquinavir mesylate, Saxagliptin hydrochloride and Metformin hydrochloride sargramostim, Secukinumab, selegiline, sevelamer, sildenafil, Siltuximab, simethicone, simvastatin, sirolimus, sitagliptin, sodium oxybate, sodium picosulfate, sodium polystyrene sulfonate, solanine, solifenacin, sorafenib, sotalol, sparfloxacin, spironolactone, stavudine, streptozocin, sulfadiazine, sulfasalazine, sulfisoxazole, sulfisoxazole, sulindac, sumatriptan, sunitinib, tacrine, Tacrolimus, tamsulosin, tedizolid, tegaserod, telbivudine, telithromycin, telmisartan, temozolomide, teniposide, tenofovir, terbinafine, teriparatide, tetraferric tricitrate decahydrate, Thallous Chloride Tl 201, theophylline, thiabendazole, thioguanine, thioridazine, thiothixene, thyroxine, ticlopidine, Tigecycline, tiludronate, tipranavir, tocopherol, tolcapone, Tolmetin, topiramate, topotecan, Trametinib dimethyl sulfoxide, trandolapril, tranylcypromine, trastuzumab, trazodone, treprostinil, Tretinoin, triamterene, triazolam, trifluoperazine, trihexyphenidyl, trimeprazine, trimethadione, trimethobenzamide, trimetrexate glucuronate, trimipramine, triprolidine, trovafloxacin, valacyclovir, valganciclovir, valproic acid, valsartan, verapamil, Vandetanib, Vilazodone, vinblastine, voriconazole, vorinostat, zanamivir, Zafirlukast, zidovudine, ziprasidone, zoledronic acid, zolmitriptan, Zoledronate

Ear Nose Throat Otitis media in children
Endocrine

Addison's disease, carcinoid syndrome, diabetes insipidus, diabetic neuropathy, glucagonoma, Graves disease, hyperthyroidism, hypoaldosteronism, multiple endocrine neoplasia type 1 neuroendocrine tumors, somatostatinoma, subacute thyroiditis

Environmental Abrus precatorious, agastache rugosa, alchornea castaneifolia, amanita phalloides poisoning, amnesic shellfish poisoning, azalea poisoning, bee stings, datura stramonium poisoning, endosulfan toxication, food poisoning, herbal extract overdose, honey intoxication, insect bite allergy, isomalt toxicity, lycorine, marine toxins, mushroom poisoning, narcissus pseudonarcissus, oleander poisoning, pesticide poisoning, phytohaemagglutinin poisoning, phytolacca americana toxicity, ricinus communis poisoning, snakebites, solanine poisoning
Gastroenterologic

Abdominal abscess, abdominal cancer, achlorhydria, acute appendicitis, acute gastritis, bile acid sequestrant, biliary atresia, biliary tract cancer, blind loop syndrome, caecitis, carcinoid syndrome, celiac disease, cholestatic jaundice, colitis, colonic inertia, colonic malakoplakia, colonic villous adenomata, colorectal cancer, colorectal polyps, Crohn's disease, diverticulitis, enteritis, enterocele, enterocolitis, food poisoning, fructose malabsorption, gastric dumping syndrome, gastrinoma, gastritis, gastro-enteropancreatic neuroendocrine tumor, gastroenteritis, gastrointestinal amyloidosis, glucose-galactose malabsorption, gluten sensitivity, Habba syndrome ileitis, inflammatory bowel disease, intestinal lymphangiectasis, intestinal pseudoobstruction, intususception, irritable bowel syndrome, ischemic colitis, lactose intolerance, listeriosis, malabsorption syndrome, malassimilation, Meckel diverticulitis, polyposis, proctitis, protein losing enteropathy, tropical sprue, ulcerative colitis, Whipple's disease, Zollinger-Ellison syndrome

Genetic

3-hydroxyacyl-coenzyme A dehydrogenase deficiency, 3-methylcrotonyl-CoA carboxylase deficiency, abetalipoproteinaemia, Arakawa's syndrome II, aromatic amino acid decarboxylase deficiency, aspartylglycosaminuria, Baber's syndrome, Brown-symmers disease, congenital adrenal hyperplasia, congenital disorder of glycosylation type 1B, congenital intrinsic factor deficiency, congenital short bowel syndrome, congenital toxoplasmosis, Cornelia de Lange syndrome 2, Cronkhite-Canada disease, dibasic aminoaciduria 2, Fabry's disease, familial amyloid polyneuropathy, galactosemia, Gardner's syndrome, Gilbert's syndrome, glutathione synthetase deficiency, Hartnup disease, hereditary angioedema, HNPCC, hyper IgM syndrome, hyperlipoproteinemia type I, inborn amino acid metabolism disorder, juvenile polyposis syndrome, lipoid congenital adrenal hyperplasia, malonic aciduria, malonyl-CoA decarboxylase deficiency, mucopolysaccharidosis, neuroblastoma, neurofibromatosis, Sanfilippo syndrome, Slone's disease, sphingolipidosis, sucrase-isomaltase deficiency, Turcot syndrome, very long-chain acyl-coenzyme A dehydrogenase deficiency, Von Gierke disease, Wiskott-Aldrich syndrome, X-linked agammaglobulinaemia

Hematologic

Amyloidosis, C1 esterase inhibitor, chronic myeloproliferative disorders, hyper IgM syndrome, idiopathic hypereosinophilic syndrome, megaloblastic anemia, myleofibrosis, neutropenia, porphyria Wiskott-Aldrich syndrome, X-linked agammaglobulinaemia

Iatrogenic

Adjustable gastric band, colonoscopy, dumping syndrome, graft versus host disease, percutaneous endoscopic gastrostomy, postileal resection, postvagotomy, radiation proctitis, rectal surgery, radiation sickness, short bowel syndrome, vaccination

Infectious Disease

Adenophorea, adenoviridae, aeromonas hydrophila, AIDS, amebiasis, ancylostoma duodenale, anguillulosis, anthrax, ascariasis, astrovirus, bacillary dysentery, bacillus cereus, bacterial toxin, balantidiasis, beef tapeworm, blastocystis hominis, borrelia anserina, botulism, campylobacter jejuni, candida, capillaria, cestoda, ciguatera poisoning, clostridium difficile, clostridium perfringens, clostridium sordellii, clostridium welchii, coccidia, cryptosporidiosis, cyclosporiasis, cysticercosis, cytomegalovirus, dientamoeba fragilis, diphyllobothrium infection, dipylidium caninum infection, Ebola, echinococcosis, ehrlichiosis, entamoeba histolytica, escherichia coli, fasciolopsiasis, filariasis, flavivirus, fusarium venenatum, giardia lamblia, hantavirus pulmonary syndrome, helminthiasis, hepatitis A, hepatitis B, hepatitis C, hepatitis D, hepatitis E, hepatitis X, hookworm infection, isosporiasis, katayama fever, lassa fever, legionella pneumophila, legionnaires' disease, leptospirosis, lymphogranuloma venereum, malaria, marburg virus, measles, metagonimiasis, mycobacterium avium complex, norwalk gastroenteritis, opisthorchis infection, paragonimus infection, pelvic abscess, pseudomembranous colitis, psittacosis, Q fever, rhabditida, rotavirus, roundworm, salmonellosis, sarcocystis, schistosomiasis, secernentea, shigellosis, small bowel bacterial overgrowth syndrome, staphylococcal food poisoning, staphylococcal toxic shock syndrome, streptobacillus, streptococcal infections, strongyloides, tapeworms, trematoda, trichinella spiralis, trichinosis, trichuriasis, tularemia, typhoid fever, vancomycin, vibrio cholerae, vibrio mimicus, vibrio parahemolyticus, vibrio vulnificus, visceral leishmaniasis, Whipple disease, whipworm infection, yersinia enterocolitica

Musculoskeletal / Ortho No underlying causes
Neurologic Common migraine, neuroblastoma, Waterhouse-Friederichsen syndrome
Nutritional / Metabolic

Folate deficiency, food allergies, food intolerances, iron supplements, kwashiorkor, lactose intolerance, milk allergy, pellagra, pernicious anemia, protein losing enteropathy, sucrose intolerance, vitamin C toxicity, zinc deficiency

Obstetric/Gynecologic Childbirth, endometriosis, neonatal sepsis, ovarian cancer, ovarian hyperstimulation syndrome
Oncologic

Adrenal tumor, carcinoid syndrome, colorectal cancer, Ewing's sarcoma, Gardner's syndrome, gastric cancer, HNPCC, juvenile polyposis syndrome, Kaposi's sarcoma, multiple endocrine neoplasia type 1, neuroendocrine tumors, pancreatic adenoma, peritoneal mesothelioma, neuroendocrine tumors, ovarian cancer, small bowel lymphoma, somatostatinoma, thymus cancer, Vipoma,

Opthalmologic No underlying causes
Overdose / Toxicity

Carbon monoxide toxicity, carnitine overuse, colchicine toxicity, digoxin toxicity, ergotism, heavy metal ingestion, mazindol

Psychiatric Anxiety-tension syndrome, chronic fatigue syndrome, dissociative disorder, panic attack
Pulmonary Anthrax, cystic fibrosis, diffuse systemic sclerosis, legionellosis
Renal / Electrolyte Acute kidney failure, chronic renal failure, hyperchloremia
Rheum / Immune / Allergy

Acquired angioedema, Amyloidosis, anaphylaxis, autoimmune adrenalitis, autoimmune enteropathy, autoimmune polyendocrine syndrome, autonomic neuropathy, C1 esterase inhibitor, chronic granulomatous disease, complement 5 deficiency, hereditary angioedema, hyper IgM syndrome, Kawasaki disease, Omenn syndrome, Reiter’s syndrome, Satoyoshi syndrome, severe combined immunodeficiency, Wiskott-Aldrich syndrome, X-linked agammaglobulinaemia

Trauma No underlying causes
Urologic Proctitis, Reiter’s syndrome
Miscellaneous

Alcohol intoxication, alcohol withdrawal, anopsology

Causes in Alphabetical Order

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References

  1. ↑ 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.
  2. ↑ de Bruyn G (2008). "Diarrhoea in adults (acute)". BMJ Clin Evid. 2008. PMC 2907942. PMID 19450323.
  3. ↑ Chiejina M, Samant H. PMID 29262044. Missing or empty |title= (help)
  4. ↑ Dalby-Payne JR, Elliott EJ (2009). "Gastroenteritis in children". BMJ Clin Evid. 2009. PMC 2907797. PMID 21726481.
  5. ↑ 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.
  6. ↑ 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.
  7. ↑ 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.
  8. ↑ 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.
  9. ↑ 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.
  10. ↑ Surawicz CM (2003). "Antibiotic-associated diarrhea in children: how many dirty diapers?". J. Pediatr. Gastroenterol. Nutr. 37 (1): 2–3. PMID 12826999.
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