Infectious colitis differential diagnosis: Difference between revisions
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Symptoms and signs of infectious colitis are seen in other causes of colitis and some systemic diseases. Therefore, detailed history, physical examination and laboratory tests are needed to make the diagnosis. In addition, endoscopy with biopsy may be required to confirm the diagnosis. In infants and young children, infectious colitis must be differentiated from allergic colitis, necrotizing enterocolitis, intussusception, volvolus and early onset inflammatory bowel disease. In adolescents and adults, infectious colitis must be differentiated from inflammatory bowel disease and colorectal malignancy.<ref name="pmid27080713">{{cite journal| author=Palle SK, Prasad M, Kugathasan S| title=Approach to a Child with Colitis. | journal=Indian J Pediatr | year= 2016 | volume= | issue= | pages= | pmid=27080713 | doi=10.1007/s12098-016-2091-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27080713 }} </ref><ref name="pmid22080825">{{cite journal| author=DuPont HL| title=Approach to the patient with infectious colitis. | journal=Curr Opin Gastroenterol | year= 2012 | volume= 28 | issue= 1 | pages= 39-46 | pmid=22080825 | doi=10.1097/MOG.0b013e32834d3208 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22080825 }} </ref> | Symptoms and signs of infectious colitis are seen in other causes of colitis and some systemic diseases. Therefore, detailed history, physical examination and laboratory tests are needed to make the diagnosis. In addition, endoscopy with biopsy may be required to confirm the diagnosis. In infants and young children, infectious colitis must be differentiated from allergic colitis, necrotizing enterocolitis, intussusception, volvolus and early onset inflammatory bowel disease. In adolescents and adults, infectious colitis must be differentiated from inflammatory bowel disease and colorectal malignancy.<ref name="pmid27080713">{{cite journal| author=Palle SK, Prasad M, Kugathasan S| title=Approach to a Child with Colitis. | journal=Indian J Pediatr | year= 2016 | volume= | issue= | pages= | pmid=27080713 | doi=10.1007/s12098-016-2091-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27080713 }} </ref><ref name="pmid22080825">{{cite journal| author=DuPont HL| title=Approach to the patient with infectious colitis. | journal=Curr Opin Gastroenterol | year= 2012 | volume= 28 | issue= 1 | pages= 39-46 | pmid=22080825 | doi=10.1097/MOG.0b013e32834d3208 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22080825 }} </ref> | ||
== | ==Differential Diagnosis== | ||
The differential diagnosis of allergic colitis can be classified into two according to age group. | |||
===Differential diagnosis in Infants=== | |||
*[[Swallowed maternal blood syndrome]] | |||
*[[Anorectal fissure]] | |||
*[[Necrotizing enterocolitis]] especially in preterm babies | |||
*[[Vitamin K deficiency hemorrhage]] | |||
*Other Coagulopathies (hereditary such as coagulation factor deficiency or acquired such as [[Liver disease]] with clotting factor deficiency) | |||
*[[Intussusception]] | |||
*Infectious colitis | |||
*[[Hirschsprung disease]] complicated by enterocolitis | |||
*[[Volvolus]] | |||
*Inflammatory bowel disease(early onset) | |||
*[[Meckel diverticulum]] | |||
*Dermatitis | |||
*Gastrointestinal duplication cyst | |||
*Vascular malformations | |||
*Gastro-duodenal ulcers | |||
*Lymphonodular hyperplasia | |||
===Differential diagnosis in adolescent/ adult=== | |||
*Crohn's disease | |||
*Behcet's disease | |||
*Arteriovenous malformation | |||
*Diverticuclosis | |||
*Infectious colitis | |||
*Coagulopathy | |||
*[[Henoch-Schonlein purpura]] | |||
*Systemic lupus erythematosus(SLE) | |||
*Colorectal malignancy | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 18:41, 16 October 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Qasim Salau, M.B.B.S., FMCPaed [2]
Overview
Symptoms and signs of infectious colitis are seen in other causes of colitis and some systemic diseases. Therefore, detailed history, physical examination and laboratory tests are needed to make the diagnosis. In addition, endoscopy with biopsy may be required to confirm the diagnosis. In infants and young children, infectious colitis must be differentiated from allergic colitis, necrotizing enterocolitis, intussusception, volvolus and early onset inflammatory bowel disease. In adolescents and adults, infectious colitis must be differentiated from inflammatory bowel disease and colorectal malignancy.[1][2]
Differential Diagnosis
The differential diagnosis of allergic colitis can be classified into two according to age group.
Differential diagnosis in Infants
- Swallowed maternal blood syndrome
- Anorectal fissure
- Necrotizing enterocolitis especially in preterm babies
- Vitamin K deficiency hemorrhage
- Other Coagulopathies (hereditary such as coagulation factor deficiency or acquired such as Liver disease with clotting factor deficiency)
- Intussusception
- Infectious colitis
- Hirschsprung disease complicated by enterocolitis
- Volvolus
- Inflammatory bowel disease(early onset)
- Meckel diverticulum
- Dermatitis
- Gastrointestinal duplication cyst
- Vascular malformations
- Gastro-duodenal ulcers
- Lymphonodular hyperplasia
Differential diagnosis in adolescent/ adult
- Crohn's disease
- Behcet's disease
- Arteriovenous malformation
- Diverticuclosis
- Infectious colitis
- Coagulopathy
- Henoch-Schonlein purpura
- Systemic lupus erythematosus(SLE)
- Colorectal malignancy
References
- ↑ Palle SK, Prasad M, Kugathasan S (2016). "Approach to a Child with Colitis". Indian J Pediatr. doi:10.1007/s12098-016-2091-5. PMID 27080713.
- ↑ DuPont HL (2012). "Approach to the patient with infectious colitis". Curr Opin Gastroenterol. 28 (1): 39–46. doi:10.1097/MOG.0b013e32834d3208. PMID 22080825.