Escherichia coli enteritis differential diagnosis: Difference between revisions
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*Other bacterial infections (see table below) | *Other bacterial infections (see table below) | ||
*Viral infections (e.g. [[norovirus infection]], [[HIV infection]]) | *Viral infections (e.g. [[norovirus infection]], [[HIV infection]]) | ||
*Fungal infections (e.g. ''Candida spp.'') | *Fungal infections (e.g. ''[[Candidiasis|Candida spp.]]'') | ||
*Parasites (''Giardia spp.'', ''E. histolytica'', ''Cryptosporidium spp.'') | *Parasites (''[[Giardiasis|Giardia spp.]]'', ''[[Amoebiasis|E. histolytica]]'', ''[[Cryptosporidium|Cryptosporidium spp.]]'') | ||
===Non-infectious Causes=== | ===Non-infectious Causes=== | ||
The following are the non-infectious differential diagnoses of ''E. coli enteritis'': | The following are the non-infectious differential diagnoses of ''E. coli enteritis'': | ||
*[[Acute pancreatitis]] | *[[Acute pancreatitis]] | ||
*[[Adrenal insufficiency]] and [[Waterhouse-Friedrichsen syndrome]] | *[[Adrenal insufficiency]] and [[Adrenal insufficiency|Waterhouse-Friedrichsen syndrome]] | ||
*[[Allergy]] (e.g. [[insect bite allergy]] or [[anaphylaxis]]) | *[[Allergy]] (e.g. [[insect bite allergy]] or [[anaphylaxis]]) | ||
*[[Appendicitis]] | *[[Appendicitis]] | ||
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*[[Ruptured abdominal aortic aneurysm]] | *[[Ruptured abdominal aortic aneurysm]] | ||
*[[Spider bite]] | *[[Spider bite]] | ||
* | *Poisoning and toxicity (e.g. [[carbon monoxide poisoning]], [[organophosphate poisoning]], [[Digitoxin|digitoxin toxicity]]) | ||
*[[ | *[[Volvulus]] | ||
*[[Urinary tract infection]] | *[[Urinary tract infection]] | ||
The table below lists the underlying bacterial pathogens known to cause acute 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> | The table below lists the underlying bacterial pathogens known to cause acute 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> | ||
Revision as of 03:17, 21 December 2015
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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 differential diagnosis On the Web |
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American Roentgen Ray Society Images of Escherichia coli enteritis differential diagnosis |
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Escherichia coli enteritis differential diagnosis in the news |
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Risk calculators and risk factors for Escherichia coli enteritis differential diagnosis |
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
Differentiating Escherichia coli Enteritis from other Diseases
- Enteritis caused by E. coli must be differentiated from other causes of acute diarrhea (with or without blood) and abdominal pain.
- Differential diagnosis of E. coli enteritis includes the following:
Infectious Differential Diagnosis
The following are the infectious differential diagnoses of E. coli enteritis:
- Other bacterial infections (see table below)
- Viral infections (e.g. norovirus infection, HIV infection)
- Fungal infections (e.g. Candida spp.)
- Parasites (Giardia spp., E. histolytica, Cryptosporidium spp.)
Non-infectious Causes
The following are the non-infectious differential diagnoses of E. coli enteritis:
- Acute pancreatitis
- Adrenal insufficiency and Waterhouse-Friedrichsen syndrome
- Allergy (e.g. insect bite allergy or anaphylaxis)
- Appendicitis
- Bowel obstruction
- Diverticulitis
- [[Drug reaction (e.g. antimicrobial agents, antihypertensive therapy, chemotherapy, anticonvulsants)
- Endometriosis
- Familial Mediterranean fever
- Gastrointestinal perforation
- Hyperthyroidism
- Ileus
- Intussusception
- Ischemic colitis
- Ketoacidosis
- Mesenteric ischemia
- Necrotizing enterocolitis
- Ogilvie syndrome
- Peritonitis
- Ruptured abdominal aortic aneurysm
- Spider bite
- Poisoning and toxicity (e.g. carbon monoxide poisoning, organophosphate poisoning, digitoxin toxicity)
- Volvulus
- Urinary tract infection
The table below lists the underlying bacterial pathogens known to cause acute 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
- ↑ 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.