Escherichia coli enteritis history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
==History== | ==History== | ||
History-taking for patients with ''E. coli'' enteritis | History-taking for patients with ''E. coli'' enteritis should focus on risk factors for the transmission of pathogenic ''E. coli'' and development of enteritis: | ||
*Recent ingestion of uncooked or poorly handled vegetables, meat / poultry, raw milk, or poorly stored foods that require refrigerators (e.g. mayonnaise) | *Recent ingestion of uncooked or poorly handled vegetables, meat / poultry, raw milk, or poorly stored foods that require refrigerators (e.g. mayonnaise) | ||
:*Enterohemorrhagic ''E. coli'' O157:H7 is commonly associated with ingestion of ground beef (e.g. in hamburgers) or alfalfa sprouts | :*Enterohemorrhagic ''E. coli'' O157:H7 is commonly associated with ingestion of ground beef (e.g. in hamburgers) or alfalfa sprouts |
Revision as of 04:00, 21 December 2015
Escherichia coli enteritis Microchapters |
Differentiating Escherichia coli enteritis from other Diseases |
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Diagnosis |
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Escherichia coli enteritis history and symptoms On the Web |
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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 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 and Symptoms
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:
- Recent ingestion of uncooked or poorly handled vegetables, meat / poultry, raw milk, or poorly stored foods that require refrigerators (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
- Enterotoxicogenic E. coli is the most common cause of travel 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
- 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: