Escherichia coli enteritis history and symptoms: Difference between revisions

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Revision as of 15:00, 9 December 2015

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, bloating, and nausea with or without fever. 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 is generally remarkable for the following findings:

Recent ingestion of uncooked or poorly handled vegetables or meat

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

Enterotoxicogenic E. coli is the most common cause of travel diarrhea

Symptoms

Common Symptoms

Common symptoms of E. coli enteritis include:

Sudden-onset, mild/severe diarrhea that may either be watery or bloody

Watery (non-inflammatory): ETEC, EPEC, EAEC, DAEC. Of note, EIEC may cause watery diarrhea, but it is classically associated with bloody diarrhea.
Bloody (inflammatory): EHEC, EIEC. Of note, EPEC and EAEC may cause bloody diarrhea, but they are classically associated with watery diarrhea.

Fever
Abdominal bloating
Anorexia
Diffuse, cramping abdominal pain
Nausea
Vomiting

Less Common Symptoms

Less common symptoms of E. coli enteritis are related to the development of complications, such as hemolytic uremic syndrome. Symptoms include:
Spontaneous bruising
Painless gross hematuria
Oliguria/anuria

References

@@ Line 1: / Line 1: @@
-__NOTOC__<br>{{Escherichia coli enteritis}}<br>{{CMG}}; {{AE}} {{SSK}}, {{YD}}<br><br>==Overview==
+__NOTOC__
-'''Symptoms of ''E. coli'' enteritis include <br>'''<br>==History and Symptoms=='''==History==''''''History-taking for patients with ''E. coli'' enteritis is generally remarkable for the following findings:''''''*Recent ingestion of uncooked or poorly handled vegetables or meat'''''':*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'''''':*Enterotoxicogenic ''E. coli'' is the most common cause of travel diarrhea''''''==Symptoms==
+{{Escherichia coli enteritis}}
-'''
+{{CMG}}; {{AE}} {{SSK}}, {{YD}}
-'''===Common Symptoms===
+==Overview==
-'''Common symptoms of ''E. coli'' enteritis include:
+'''Symptoms of ''E. coli'' enteritis include diarrhea (either watery or bloody), nausea, vomiting, abdominal pain, bloating, and nausea with or without fever. 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 is generally remarkable for the following findings:
+*Recent ingestion of uncooked or poorly handled vegetables or meat
+:*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
+:*Enterotoxicogenic ''E. coli'' is the most common cause of travel diarrhea
+==Symptoms==
+===Common Symptoms===
+Common symptoms of ''E. coli'' enteritis include:
 *Sudden-onset, mild/severe diarrhea that may either be watery or bloody
 :*Watery (non-inflammatory): ETEC, EPEC, EAEC, DAEC. Of note, EIEC may cause watery diarrhea, but it is classically associated with bloody diarrhea.