Acute diarrhea differential diagnosis: Difference between revisions
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{| class="wikitable" style="border: 0px; font-size: 100%; margin: 3px;" align="center" | {| class="wikitable" style="border: 0px; font-size: 100%; margin: 3px;" align="center" | ||
! colspan="2" rowspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause | ! colspan="2" rowspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause | ||
| colspan="9" style="background:#4479BA; color: #FFFFFF;" align="center" |'''Clinical manifestation''' | | colspan="9" style="background:#4479BA; color: #FFFFFF;" align="center" |'''Clinical manifestation''' | ||
Line 47: | Line 46: | ||
! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt | ! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[Ischemic colitis]] | |||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
* [[ | *Hyperactive then absent [[Stomach rumble|bowel sounds]] | ||
* | *[[Tenderness (medicine)|Abdominal tenderness]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *Elevated [[C-reactive protein|CRP]] | ||
* [[ | *Elevated [[Erythrocyte sedimentation rate|ESR]] | ||
* Elevated [[ | *Elevated serum [[Lactic acid|lactate]] | ||
* Elevated [[ | *Elevated [[lactate dehydrogenase]] ([[Lactate dehydrogenase|LDH]]) | ||
*Elevated [[Creatine kinase|creatine phosphokinase]] ([[Creatine kinase|CPK]]) | |||
*Elevated [[amylase]] | |||
*[[Hypoalbuminemia]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *[[Henoch-Schönlein purpura|IgA vasculitis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Thrombophilia|Hypercoagulability]] | ||
*Nonocclusive [[Ischemic colitis|colonic ischemia]] | |||
*[[Embolism|Embolic]] and [[Thrombosis|thrombotic]] arterial occlusion | |||
*[[Mesenteric vein thrombosis]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *Abdominal [[Computed tomography|CT scan]] | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Lactose intolerance]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[Abdominal tenderness ]] | |||
* [[Abdominal distention]] | * [[Abdominal distention]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | * Lactose tolerance test | ||
* | * Genetic testing | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
* [[Headache]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | * [[Vertigo]] | ||
* [[ | * [[Memory impairment]] | ||
* [[ | * [[Lethargy]] | ||
* [[ | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | * Reduction of lactase enzyme activity or inability to produce persistent [[lactase]] | ||
* [[ | * Congenital [[lactase deficiency]] | ||
* [[ | * Secondary lactose malabsorption | ||
* | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | * [[Small bowel]] [[biopsy]] | ||
* [[ | * Lactose breath hydrogen test | ||
* | |||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Tropical sprue]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | * Angular [[stomatitis]] | ||
* | * Oral mucosal lesion | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
* [[Fat soluble vitamins]] deficiency | |||
* [[Vitamin B12 deficiency]] | |||
* [[Folate deficiency]] | |||
* [[Hypokalemia]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Myalgia]] | ||
*[[Neuropathy]] | |||
* [[ | *[[Edema]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | * ''[[Escherichia coli]]'' | ||
* ''[[Klebsiella pneumoniae]]'' | |||
* ''[[Enterobacter cloacae]]'' | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
* [[ | * Diagnosis of exclusion | ||
* [[ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
* | |||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Pseudomembranous enterocolitis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |± | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |± | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[Tenderness (medicine)|Abdominal tenderness]] | * Generalized [[Tenderness (medicine)|abdominal tenderness]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | * [[Abdominal distention]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | * [[Rebound tenderness|Rebound abdominal tenderness]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | * [[Enzyme linked immunosorbent assay (ELISA)|Enzyme–linked immunosorbent assay]] ([[Enzyme linked immunosorbent assay (ELISA)|ELISA]]) | ||
* | * [[Polymerase chain reaction]] ([[Polymerase chain reaction|PCR]]) assay or ''[[Clostridium difficile infection|C. difficile]]'' antigen | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | * Elevated [[Creatinine|serum creatinine]] | ||
* | * [[Hypoalbuminemia]] | ||
* Elevated [[lactic acid]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | * [[Dehydration]] | ||
* [[ | * [[Acute kidney injury]] | ||
* [[ | |||
* [[Bacteremia]] | |||
* [[Reactive arthritis]] | |||
* [[Necrotizing fasciitis]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | * [[Clostridium difficile|''Clostridium difficile'']] | ||
* | * Recent [[antibiotics]] use | ||
* [[ | * Recent [[surgery]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | * [[Stool examination|Stool exam]] | ||
* Pseudomembranes on [[colonoscopy]] | |||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" | [[Campylobacteriosis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | *Diffuse [[abdominal tenderness]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Toxic megacolon]] | ||
*[[Sepsis]] | |||
*[[Arthritis]] | |||
*[[Endocarditis]] | |||
*[[Guillain-Barré syndrome|Guillain–Barré syndrome]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Campylobacter jejuni|''Campylobacter jejuni'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Stool culture]] | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Salmonellosis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | |||
*[[Abdominal distention]] | |||
*Diffuse [[abdominal tenderness]] | |||
*[[Hepatosplenomegaly]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | |||
* [[ | |||
* | |||
* | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Positive [[stool culture]] | *Positive [[stool culture]] | ||
*Positive | *Positive serologic testing | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Hypokalemia]] | ||
* | *[[Hypernatremia]] | ||
*[[Hyponatremia]] | |||
* [[Hypercalciuria]] | |||
* [[Hypocitraturia]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | * [[Post-infectious arthritis|Post–infectious arthritis]] | ||
* [[ | * [[Obtundation]] | ||
* [[Bacteremia]] | |||
* [[Pericarditis]] | |||
* [[Pyelonephritis]] | |||
*[[Brain abscess]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[Salmonella|''Salmonella'']] | *[[Salmonella|''Salmonella'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[Stool culture]] | *[[Stool culture]] | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Shigellosis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
*Hyperactive | * [[Abdominal distention]] | ||
*[[ | * Hyperactive [[Stomach rumble|bowel sounds]] | ||
* Diffuse [[abdominal tenderness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑/↓ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Elevated [[C-reactive protein|CRP]] | *Elevated [[C-reactive protein|CRP]] | ||
*Elevated [[Erythrocyte sedimentation rate|ESR]] | *Elevated [[Erythrocyte sedimentation rate|ESR]] | ||
* | *[[Hyponatremia]] | ||
* | * [[Hypoglycemia]] | ||
* | * [[Azotemia]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | * [[Headache]] | ||
* [[Lethargy]] | |||
* [[Seizures]] | |||
* [[Delirium]] | |||
* [[Post-infectious arthritis|Post–infectious arthritis]] | |||
* [[Myocarditis]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Shigella|''Shigella'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Stool culture]] | ||
|- | |- | ||
! | ! rowspan="5" style="background:#DCDCDC;" align="center" |[[Escherichia coli enteritis]] | ||
| style="background:#DCDCDC;" align="center" |[[ETEC|'''ETEC''']] | |||
([[Traveler's diarrhea]]) | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
*Diffuse [[abdominal tenderness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*Positive [[stool culture]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | |||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*[[Escherichia coli|''Enterotoxigenic escherichia coli'']] | |||
*[[Enterotoxin|Enterotoxins]]: | |||
**Heat–labile [[enterotoxin]] (LT) | |||
**Heat–stable [[enterotoxin]] (ST) | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | *[[Stool culture]] | ||
* [[ | |||
* [[ | |||
* | |||
* [[ | |||
* | |||
* | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
* [[ | |||
|- | |- | ||
| style="background:#DCDCDC;" align="center" |[[EPEC|'''EPEC''']] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | |||
*Diffuse [[abdominal tenderness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*Positive [[stool culture]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *''[[Enteropathogenic E. coli]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Hybridization probe|DNA probe]] or [[polymerase chain reaction]] ([[Polymerase chain reaction|PCR]]) of the ''EPEC'' adherence factor | ||
| | *[[Stool culture]] | ||
* | |||
|- | |- | ||
| style="background:#DCDCDC;" align="center" |[[EIEC|'''EIEC''']] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | |||
*Diffuse [[abdominal tenderness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* Positive [[ | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Escherichia coli enteritis|''Enteroinvasive E. coli'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *[[Hybridization probe|DNA probe]] | ||
*[[Stool culture]] | |||
* [[ | |||
|- | |- | ||
| style="background:#DCDCDC;" align="center" |[[EHEC|'''EHEC''']] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | |||
*Diffuse [[abdominal tenderness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Positive [[stool culture]] | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | ↓ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | * [[Azotemia]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Hemolytic-uremic syndrome|Hemolytic uremic syndrome]] ([[Hemolytic-uremic syndrome|HUS]]) | ||
*[[Renal insufficiency|Renal failure]] | |||
*[[ | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | *[[Enterohemorrhagic escherichica coli|''Enterohemorrhagic E. coli'']] | ||
* | *[[Shiga toxin|Shiga toxins]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
* | *[[Stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
* | |||
|- | |- | ||
| style="background:#DCDCDC;" align="center" |[[EAEC|'''EAEC''']] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | |||
*Diffuse [[abdominal tenderness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Positive [[stool culture]] | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *Chronic infection in [[Immunodeficiency|immunocompromised]] patients | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *[[Escherichia coli enteritis|''Enteroaggregative E. coli'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Stool culture]] | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Yersinia enterocolitica]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
* [[Abdominal distention]] | * [[Abdominal distention]] | ||
* [[ | * Hyperactive [[Stomach rumble|bowel sounds]] | ||
* Diffuse [[abdominal tenderness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
Line 593: | Line 479: | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Bacteremia]] | ||
* [[ | *[[Reactive arthritis]] | ||
* | *[[Glomerulonephritis]] | ||
*[[Endocarditis]] | |||
*[[Erythema nodosum]] | |||
*[[Abscess]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *[[Yersinia enterocolitica|''Yersinia enterocolitica'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[Stool culture]] | |||
|- | |||
! colspan="2" style="background:#DCDCDC;" align="center" |[[Vibrio cholerae|Vibrio cholera]] | |||
* [[Stool | |||
|- | |||
! colspan="2" style="background:#DCDCDC;" align="center" | | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
Line 637: | Line 515: | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Azotemia]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *Severe [[dehydration]] | ||
*Decreased [[Turgor|skin turgor]] | |||
*[[Oliguria]] | |||
*[[Renal insufficiency|Renal failure]] | |||
*[[Cramp|Muscle cramps]] | |||
*[[Seizure]] | |||
*[[Somnolence]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*[[Cholera toxin]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[Stool culture]] | *[[Stool culture]] | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Aeromonas]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
Line 659: | Line 540: | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
*[[Abdominal distention]] | * [[Abdominal distention]] | ||
* | * Hyperactive [[Stomach rumble|bowel sounds]] | ||
*[[ | * Diffuse [[abdominal tenderness]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
Line 668: | Line 549: | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Positive [[stool culture]] | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *Wound [[infection]] | ||
*[[ | *[[Bacteremia]] | ||
*[[ | *[[Hemolytic-uremic syndrome|Hemolytic uremic syndrome]] | ||
*[[Meningitis]] | |||
* [[ | *[[Ocular]] infection | ||
* [[ | *[[Pneumonia]] | ||
*[[Urinary tract infection]] | |||
*[[Osteomyelitis]] | |||
*[[Peritonitis]] | |||
*[[Acute cholecystitis]] | |||
*[[Opportunistic infection|Opportunistic infections]] in [[Immunodeficiency|immunocompromised]] patients | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *''[[Aeromonas]]'' virulence factors including [[Endotoxin|endotoxins]], [[Hemolysin|hemolysins]], [[Enterotoxin|enterotoxins]], and adherence factors | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Blood culture]] | ||
*Wound [[Culture collection|culture]] | |||
*[[ | |||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Plesiomonas shigelloides|Plesiomonas]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
Line 702: | Line 581: | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
* Hyperactive [[Stomach rumble|bowel sounds]] | * Hyperactive [[Stomach rumble|bowel sounds]] | ||
* Diffuse [[abdominal tenderness]] | * Diffuse [[abdominal tenderness]] | ||
Line 711: | Line 589: | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Positive [[stool culture]] | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*[[Opportunistic infection|Opportunistic infections]] in [[Immunodeficiency|immunocompromised]] patients or [[Hepato-biliary diseases|hepatobiliary disease]] | |||
*[[Bacteremia]] | |||
*[[Cellulitis]] and [[Skin and soft-tissue infections|skin abscesses]] | |||
*[[Peritonitis]] | |||
*[[Meningoencephalitis]] | |||
*[[Ocular]] [[infection]] | |||
*[[Pneumonia]] | |||
*[[Prosthetic devices|Prosthetic]] joint [[infection]] | |||
*Septic [[Pregnancy termination complications|abortion]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Plesiomonas shigelloides|''Plesiomonas shigelloides'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *[[Blood culture]] | ||
|- | |- | ||
! | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Mycobacterium avium complex]] | ||
| style="background:# | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Abdominal distension|Abdominal distention]] | ||
*[[Hepatosplenomegaly]] | |||
* | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Elevated [[Liver function tests|liver enzymes]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
| | *[[Opportunistic infection]] in [[Immunodeficiency|immunocompromised]] patients | ||
*[[Pulmonary]] [[infection]] | |||
| | *[[Lymphadenopathy|Adenopathy]] | ||
| | *[[Sleep hyperhidrosis|Night sweats]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*'' | *[[Mycobacterium avium complex|''Mycobacterium avium complex'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Blood culture]] | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[Foodborne illness|Food poisoning]] | |||
* [[Staphylococcus aureus]] | |||
* [[Bacillus cereus]] | |||
* [[Clostridium perfringens]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |± | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |± | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*[[Abdominal distension|Abdominal distention]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |± | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
Line 810: | Line 661: | ||
*Positive [[stool culture]] | *Positive [[stool culture]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *History of travel or ingestion of infected food | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*[[Enterotoxin|Enterotoxins]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[Stool culture]] | *[[Stool culture]] | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[Norovirus]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
* | *[[Abdominal distension|Abdominal distention]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Positive [[ | *Positive stool reverse–transcriptase [[polymerase chain reaction]] (RT–PCR) | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* [[ | *[[Myalgia]] | ||
*[[Headache]] | |||
*[[Seizure]] | |||
*[[Encephalopathy]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Norovirus|''Norovirus'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Clinical diagnosis | ||
|- | |||
! colspan="2" style="background:#DCDCDC;" align="center" |[[Rotavirus]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
*Diffuse [[abdominal tenderness]] | * Hyperactive [[Stomach rumble|bowel sounds]] | ||
* Diffuse [[abdominal tenderness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Elevated [[blood urea nitrogen]] | ||
*[[Hyperchloremic acidosis]] | |||
*[[Hypocalcemia]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Necrotizing enterocolitis]] | ||
*[[Intussusception]] | |||
*[[Biliary atresia]] | |||
*[[Central nervous system]] involvement | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*[[Rotavirus|''Rotavirus'']] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Stool immune–based assays | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Echovirus]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | |||
*[[Abdominal distension|Abdominal distention]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Hepatic failure|Liver failure]] | ||
*[[ | *[[Myocarditis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Echovirus|''Echovirus'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Clinical diagnosis | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Adenoviridae|Adenovirus]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
Line 920: | Line 770: | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | *[[Abdominal distension|Abdominal distention]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Viral antigen assay | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*[[Respiratory disease]] | |||
*[[Hyperkeratosis|Follicular]] [[conjunctivitis]] | |||
*Epidemic [[keratoconjunctivitis]] | |||
*[[Hepatitis]] | |||
*[[Urethritis]] | |||
*[[Myocarditis]] | |||
*[[Meningitis]] | |||
*[[Bacteremia]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Adenoviridae|''Adenovirus'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Clinical diagnosis | ||
|- | |||
! colspan="2" style="background:#DCDCDC;" align="center" |[[CMV colitis]] | |||
|- | |||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |± | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Diffuse [[Tenderness (medicine)|abdominal tenderness]] | |||
* | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
Line 966: | Line 815: | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Viral antigen assay | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Decreased [[CD4]] level | ||
*[[ | *Abnormal [[Liver function tests|liver function test]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*[[ | *[[Encephalitis]] | ||
*[[ | *[[Guillain-Barré syndrome|Guillain–Barré syndrome]] | ||
*[[Pneumonia]] | *[[Pneumonia]] | ||
*[[ | *[[Retinitis]] | ||
*[[ | *[[Pericarditis]] and [[myocarditis]] | ||
*[[Atherosclerosis]] | |||
*[[ | *[[Venous thromboembolism|Venous thrombosis]] | ||
*[[ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*'' | *[[Cytomegalovirus|''Cytomegalovirus'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Quantitative polymerase chain reaction|Quantitative PCR]] tests | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Entamoeba histolytica]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
Line 999: | Line 845: | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
* | *[[Abdominal distension|Abdominal distention]] | ||
* | *Diffuse [[Tenderness (medicine)|abdominal tenderness]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Liver abscess]] | ||
*[[ | *Pleuropulmonary infection | ||
* | *[[Cardiac]] [[infection]] | ||
*[[Brain abscess]] | |||
*[[Skin and soft-tissue infections|Cutaneous infection]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Entamoeba histolytica|''Entamoeba histolytica'']] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Antigen testing | ||
*Serology | |||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Microsporidia]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | |||
*[[Abdominal distension|Abdominal distention]] | *[[Abdominal distension|Abdominal distention]] | ||
*[[ | *Diffuse [[Tenderness (medicine)|abdominal tenderness]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Positive stool microscopy | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*Decreased [[CD4]] count | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Malabsorption]] | ||
*[[ | *[[Keratitis]] | ||
*[[ | *[[Seizure]] | ||
*[[ | *[[Myositis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Microsporidia]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Antigen detection assays | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Isospora]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[Abdominal distension|Abdominal distention]] | *[[Abdominal distension|Abdominal distention]] | ||
*Diffuse [[Tenderness (medicine)|abdominal tenderness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Positive [[ | *Positive stool microscopy | ||
*Positive [[fecal fat]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Elevated [[Eosinophil granulocyte|eosinophils]] | ||
*[[Hypokalemia]] | |||
*Increased [[creatinine]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *Chronic illness in [[Immunodeficiency|immunocompromised]] patients | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*[[Isospora|''Isospora'']] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Detecting oocysts in the feces | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[VIPoma]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | |||
* [[Abdominal distention]] | |||
* Abdominal [[RUQ]] [[tenderness]] | |||
* [[Nausea]] | |||
* [[Vomiting]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *Elevated [[VIP]] level | ||
*[[ | *[[Hypokalemia]] | ||
*[[ | *[[Hypochlorhydria]] or [[achlorhydria]] | ||
*Low osmotic gap (<50 mOsm/kg) | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | * [[Rash]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | * [[Facial flushing]] | ||
* | * [[Dehydration]] | ||
* [[Lethargy]] | |||
* [[Muscle weakness]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
* Primary secretory tumor | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
* Blood [[VIP]] levels | |||
* Followed by imaging | |||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |Medications | ||
* [[ACE inhibitor|ACE inhibitors]] | |||
* [[Digoxin]] | |||
* [[Cephalosporin|Cephalosporins]] | |||
* [[Statins]] | |||
* [[Thiazide|Thiazide diuretics]] | |||
* [[Triptans]] | |||
* [[Lactulose]] | |||
* [[HIV AIDS medical therapy|Anti retroviral agents]] | |||
* [[Chemotherapy|Chemotherapeutic agents]] | |||
* [[Antifungal drug|Antifungals]] | |||
* [[Magnesium]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |± | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |± | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | |||
*[[Abdominal distention]] | |||
*[[Dehydration]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑/↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Elevated | *Elevated plasma level of drug | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Inflammation]] | ||
*[[ | *[[Pseudomembranous enterocolitis|Pseudomembranous colitis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Clinical evaluation after discontinuation of the drugs | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" | | ! colspan="2" style="background:#DCDCDC;" align="center" |Factitious diarrhea | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
*[[ | *[[Abdominal distention]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑/↓ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Hypokalemia]] | ||
*[[ | *[[Metabolic alkalosis]] | ||
*[[Hypermagnesemia]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Malabsorption]] | ||
*[[Lethargy]] | |||
*[[Generalized weakness]] | |||
*[[Acute kidney injury|Acute renal failure]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Clinical | *[[Medication|Medications]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
*Clinical evaluation after discontinuation of the drugs | |||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Organophosphate poisoning]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
*[[ | *[[Saliva|Salivation]] | ||
*[[Nausea and vomiting|Vomiting]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Reduced RBC acetylcholinesterase | ||
*Plasma [[cholinesterase]] activity | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Dysautonomia|Autonomic dysfunction]] | ||
*[[ | *Motor deficit | ||
* | *Sensory deficit | ||
*[[ | *[[Bronchospasm]] | ||
*[[ | *[[Urination]] | ||
*[[ | *[[Miosis]] | ||
*[[ | *[[Bradycardia]] | ||
*[[ | *[[Lacrimation]] | ||
*[[Sweating]] | |||
*[[Cardiac arrhythmia|Cardiac arrhythmias]] | |||
*[[Acute kidney injury|Acute renal injury]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Neurotoxin|Neurotoxins]] bind to [[ACHE|acetylcholinesterase]] (AChE) | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Clinical diagnosis | *Clinical diagnosis | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Opium withdrawal]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | |||
*Hyperactive [[Stomach rumble|bowel sounds]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |– | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *[[Azotemia]] | ||
* | *[[Hypokalemia]] | ||
*[[Metabolic alkalosis]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Dysphoria]] | ||
*[[ | *[[Agitation (emotion)|Restlessness]] | ||
*[[ | *[[Perspiration|Sweating]] | ||
*[[ | *[[Rhinorrhea]] | ||
*[[ | *[[Tears|Lacrimation]] | ||
*[[ | *[[Myalgia]] | ||
*[[ | *[[Arthralgia]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Opium|Opium withdrawal]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *Clinical diagnosis following [[opium withdrawal]] | ||
|- | |- | ||
! colspan="2" style="background:#DCDCDC;" align="center" |[[ | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Short bowel syndrome]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[Abdominal distension|Abdominal distention]] | * [[Abdominal distension|Abdominal distention]] | ||
* | * [[Tenderness (medicine)|Abdominal tenderness]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Positive [[fecal fat]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ↑ | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | * [[Hypoalbuminemia]] | ||
*[[ | * High level of [[Acute phase protein|acute phase reactant]] | ||
* Abnormal [[liver function tests]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | * Prior [[Intestine|intestinal]] surgery | ||
* | * [[Malabsorption]] | ||
* [[Crohn's disease]] | |||
* [[Cancer|Malignancy]] | |||
* Peripheral [[edema]] | |||
* [[Muscle atrophy]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | * Surgical [[bowel resection]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Clinical diagnosis following [[bowel resection]] | ||
|- | |- | ||
! | ! colspan="2" style="background:#DCDCDC;" align="center" |[[Radiation enteropathy|Radiation enteritis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |– | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="Left" | | ||
* | * [[Tenderness (medicine)|Abdominal tenderness]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | – | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *Positive [[fecal fat]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *Vitamin B12 deficiency | ||
*[[Hypoalbuminemia]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
* | *Prior history of [[Cancer|malignancy]] and [[radiation therapy]] | ||
*[[Malabsorption]] | |||
*[[Telangiectasia|Telangiectasias]] | |||
*[[ | |||
* | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*[[ | *[[Radiation therapy|Radiation]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Segmental bowel [[inflammation]] on [[endoscopy]] or [[colonoscopy]] | |||
*Segmental bowel [[inflammation]] on [[endoscopy]] or [[colonoscopy]] | |||
|- } | |- } | ||
|} | |} |
Revision as of 16:26, 21 December 2017
Acute Diarrhea Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
Differentiating acute diarrhea from other Diseases
The following table outlines the major differential diagnoses of acute diarrhea.[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]
Abbreviations: GI: Gastrointestinal, CBC: Complete blood count, WBC: White blood cell, RBC: Red blood cell, Plt: Platelet, Hgb: Hemoglobin, ESR: Erythrocyte sedimentation rate, CRP: C–reactive protein, IgE: Immunoglobulin E, IgA: Immunoglobulin A, ETEC: Escherichia coli enteritis, EPEC: Enteropathogenic Escherichia coli, EIEC: Enteroinvasive Escherichia coli, EHEC: Enterohemorrhagic Escherichia coli, EAEC: Enteroaggregative Escherichia coli, Nl: Normal, ASCA: Anti saccharomyces cerevisiae antibodies, ANCA: Anti–neutrophil cytoplasmic antibody, DNA: Deoxyribonucleic acid, CFTR: Cystic fibrosis transmembrane conductance regulator, SLC10A2: Solute carrier family 10 member 2, SeHCAT: Selenium homocholic acid taurine or tauroselcholic acid, IEL: Intraepithelial lymphocytes, MRCP: Magnetic resonance cholangiopancreatography, ANA: Antinuclear antibodies, AMA: Anti-mitochondrial antibody, LDH: Lactate dehydrogenase, CPK: Creatine phosphokinase, PCR: Polymerase chain reaction, ELISA: Enzyme–linked immunosorbent assay, LT: Heat–labile enterotoxin, ST: Heat–stable enterotoxin, RT-PCR: Reverse–transcriptase polymerase chain reaction, CD4: Cluster of differentiation 4, HIV: Human immunodeficiency virus, RUQ: Right-upper quadrant, VIP: Vasoactive intestinal peptide, GI: Gastrointestinal, FAP: Familial adenomatous polyposis, HNPCC: Hereditary nonpolyposis colorectal cancer, MTP: Microsomal triglyceride transfer protein, Scl‑70: Anti–topoisomerase I, TSH: Thyroid-stimulating hormone, T4: Thyroxine, T3: Triiodothyronine, DTR: Deep tendon reflex, RNA: Ribonucleic acid
Cause | Clinical manifestation | Lab findings | Extra intestinal findings | Cause/Pathogenesis | Gold standard diagnosis | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms | GI signs | |||||||||||||||||||||
Duration | Diarrhea | Fever | Abdominal pain | Weight loss | ||||||||||||||||||
Stool exam | CBC | Other lab findings | ||||||||||||||||||||
Acute | Chronic | Watery | Bloody | Fatty | WBC | RBC | Ova/Parasite | Osmotic gap | Other | WBC | Hgb | Plt | ||||||||||
Ischemic colitis | + | + | + | + | – | + | + | + |
|
+ | + | – | Nl | – | ↑ | ↓ | ↑ |
|
|
| ||
Lactose intolerance | + | + | + | – | – | – | + | – | – | – | – | ↑ | – | Nl | Nl | Nl |
|
|
| |||
Tropical sprue | + | + | + | – | + | + | + | + |
|
+ | – | – | Nl |
|
Nl | ↓ | Nl |
| ||||
Pseudomembranous enterocolitis | + | – | + | ± | – | + | + | ± | + | + | – | Nl |
|
↑ | ↓ | ↓ |
|
|
| |||
Campylobacteriosis | + | – | + | + | – | + | + | – |
|
+ | + | – | Nl |
|
↑ | Nl | Nl | Nl | ||||
Salmonellosis | + | + | + | + | – | + | + | – | + | + | – | Nl |
|
↑ | Nl | ↑ | ||||||
Shigellosis | + | – | + | + | – | + | + | – |
|
+ | + | – | Nl |
|
↑/↓ | ↓ | ↓ |
|
||||
Escherichia coli enteritis | ETEC | + | – | + | – | – | + | – | – |
|
+ | – | – | Nl |
|
↑ | Nl | Nl | – | – |
|
|
EPEC | + | + | + | + | – | + | + | + |
|
+ | + | – | Nl |
|
↑ | Nl | Nl | – | – |
| ||
EIEC | + | – | + | + | – | + | + | – |
|
+ | + | – | Nl |
|
↑ | Nl | Nl | – | – | |||
EHEC | + | – | + | + | – | – | + | – |
|
+ | + | – | Nl |
|
↑ | ↓ | ↓ | |||||
EAEC | + | + | + | + | – | – | + | – |
|
+ | + | – | Nl |
|
↑ | ↓ | ↓ | – |
|
|||
Yersinia enterocolitica | + | – | + | + | – | + | + | – |
|
+ | + | – | Nl |
|
↑ | Nl | Nl | – | ||||
Vibrio cholera | + | – | + | – | – | – | + | – | + | – | – | Nl |
|
↑ | Nl | Nl |
|
|||||
Aeromonas | + | + | + | + | – | + | + | – |
|
+ | + | – | Nl |
|
↑ | Nl | Nl | – |
|
| ||
Plesiomonas | + | – | + | + | – | + | + | – |
|
+ | + | – | Nl |
|
↑ | Nl | Nl | – |
|
|||
Mycobacterium avium complex | + | + | + | + | – | + | + | – | + | + | – | Nl | – | ↓ | ↓ | Nl |
|
|||||
Food poisoning | + | – | + | ± | – | + | + | ± | + | ± | – | Nl |
|
↑ | Nl | Nl | – |
|
||||
Norovirus | + | – | + | – | – | + | + | – | – | – | – | Nl |
|
↓ | Nl | Nl | – |
| ||||
Rotavirus | + | – | + | – | – | + | – | – |
|
+ | – | – | Nl | – | Nl | Nl | Nl |
| ||||
Echovirus | + | – | + | – | – | + | + | – | – | – | – | Nl | – | Nl | Nl | Nl | – |
| ||||
Adenovirus | + | – | + | – | – | + | + | – | – | – | – | Nl |
|
Nl | Nl | Nl | – |
| ||||
CMV colitis | + | + | – | + | – | ± | + | – |
|
+ | + | – | Nl |
|
↓ | Nl | Nl |
|
| |||
Entamoeba histolytica | + | + | + | + | – | + | + | – | + | + | + | Nl | – | ↑ | Nl | Nl | – |
|
| |||
Microsporidia | + | + | + | – | – | + | + | – | – | – | + | Nl |
|
Nl | Nl | Nl |
|
| ||||
Isospora | + | + | + | – | + | + | + | + | + | + | + | Nl |
|
↑ | Nl | Nl |
|
|
| |||
VIPoma | + | + | + | – | + | – | + | + |
|
– | – | – | ↓ | – | Nl | Nl | Nl |
|
|
| ||
Medications | + | + | + | – | ± | ± | + | + | – | – | – | ↑/↓ | – | ↑ | Nl | Nl |
|
– |
| |||
Factitious diarrhea | + | + | + | – | – | – | + | + | – | – | – | ↑/↓ | – | Nl | Nl | Nl |
| |||||
Organophosphate poisoning | + | + | + | – | – | – | + | – | – | – | – | Nl | – | Nl | Nl | Nl |
|
|
|
| ||
Opium withdrawal | + | + | + | – | – | – | + | – |
|
– | – | – | Nl | – | Nl | Nl | Nl |
| ||||
Short bowel syndrome | + | + | + | – | + | – | – | + | – | – | – | Nl |
|
Nl | ↓ | ↑ |
|
|
|
| ||
Radiation enteritis | + | + | + | + | + | – | + | + | + | + | – | Nl |
|
Nl | ↓ | Nl |
|
|
|
References
- ↑ Casburn-Jones, Anna C; Farthing, Michael Jg (2004). "Traveler's diarrhea". Journal of Gastroenterology and Hepatology. 19 (6): 610–618. doi:10.1111/j.1440-1746.2003.03287.x. ISSN 0815-9319.
- ↑ Kamat, Deepak; Mathur, Ambika (2006). "Prevention and Management of Travelers' Diarrhea". Disease-a-Month. 52 (7): 289–302. doi:10.1016/j.disamonth.2006.08.003. ISSN 0011-5029.
- ↑ Pfeiffer, Margaret L.; DuPont, Herbert L.; Ochoa, Theresa J. (2012). "The patient presenting with acute dysentery – A systematic review". Journal of Infection. 64 (4): 374–386. doi:10.1016/j.jinf.2012.01.006. ISSN 0163-4453.
- ↑ Barr W, Smith A (2014). "Acute diarrhea". Am Fam Physician. 89 (3): 180–9. PMID 24506120.
- ↑ Amil Dias J (2017). "Celiac Disease: What Do We Know in 2017?". GE Port J Gastroenterol. 24 (6): 275–278. doi:10.1159/000479881. PMID 29255768.
- ↑ Kotloff KL, Riddle MS, Platts-Mills JA, Pavlinac P, Zaidi A (2017). "Shigellosis". Lancet. doi:10.1016/S0140-6736(17)33296-8. PMID 29254859. Vancouver style error: initials (help)
- ↑ Yamamoto-Furusho, J.K.; Bosques-Padilla, F.; de-Paula, J.; Galiano, M.T.; Ibañez, P.; Juliao, F.; Kotze, P.G.; Rocha, J.L.; Steinwurz, F.; Veitia, G.; Zaltman, C. (2017). "Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer Consenso Latinoamericano de la Pan American Crohn's and Colitis Organisation". Revista de Gastroenterología de México. 82 (1): 46–84. doi:10.1016/j.rgmx.2016.07.003. ISSN 0375-0906.
- ↑ Borbély, Yves M; Osterwalder, Alice; Kröll, Dino; Nett, Philipp C; Inglin, Roman A (2017). "Diarrhea after bariatric procedures: Diagnosis and therapy". World Journal of Gastroenterology. 23 (26): 4689. doi:10.3748/wjg.v23.i26.4689. ISSN 1007-9327.
- ↑ Crawford, Sue E.; Ramani, Sasirekha; Tate, Jacqueline E.; Parashar, Umesh D.; Svensson, Lennart; Hagbom, Marie; Franco, Manuel A.; Greenberg, Harry B.; O'Ryan, Miguel; Kang, Gagandeep; Desselberger, Ulrich; Estes, Mary K. (2017). "Rotavirus infection". Nature Reviews Disease Primers. 3: 17083. doi:10.1038/nrdp.2017.83. ISSN 2056-676X.
- ↑ Kist M (2000). "[Chronic diarrhea: value of microbiology in diagnosis]". Praxis (Bern 1994) (in German). 89 (39): 1559–65. PMID 11068510.
- ↑ Guerrant RL, Shields DS, Thorson SM, Schorling JB, Gröschel DH (1985). "Evaluation and diagnosis of acute infectious diarrhea". Am. J. Med. 78 (6B): 91–8. PMID 4014291.
- ↑ López-Vélez R, Turrientes MC, Garrón C, Montilla P, Navajas R, Fenoy S, del Aguila C (1999). "Microsporidiosis in travelers with diarrhea from the tropics". J Travel Med. 6 (4): 223–7. PMID 10575169.
- ↑ Wahnschaffe, Ulrich; Ignatius, Ralf; Loddenkemper, Christoph; Liesenfeld, Oliver; Muehlen, Marion; Jelinek, Thomas; Burchard, Gerd Dieter; Weinke, Thomas; Harms, Gundel; Stein, Harald; Zeitz, Martin; Ullrich, Reiner; Schneider, Thomas (2009). "Diagnostic value of endoscopy for the diagnosis of giardiasis and other intestinal diseases in patients with persistent diarrhea from tropical or subtropical areas". Scandinavian Journal of Gastroenterology. 42 (3): 391–396. doi:10.1080/00365520600881193. ISSN 0036-5521.
- ↑ Mena Bares LM, Carmona Asenjo E, García Sánchez MV, Moreno Ortega E, Maza Muret FR, Guiote Moreno MV, Santos Bueno AM, Iglesias Flores E, Benítez Cantero JM, Vallejo Casas JA (2017). "75SeHCAT scan in bile acid malabsorption in chronic diarrhoea". Rev Esp Med Nucl Imagen Mol. 36 (1): 37–47. doi:10.1016/j.remn.2016.08.005. PMID 27765536.
- ↑ Gibson RJ, Stringer AM (2009). "Chemotherapy-induced diarrhoea". Curr Opin Support Palliat Care. 3 (1): 31–5. doi:10.1097/SPC.0b013e32832531bb. PMID 19365159.
- ↑ Abraham BP, Sellin JH (2012). "Drug-induced, factitious, & idiopathic diarrhoea". Best Pract Res Clin Gastroenterol. 26 (5): 633–48. doi:10.1016/j.bpg.2012.11.007. PMID 23384808.
- ↑ Reintam Blaser A, Deane AM, Fruhwald S (2015). "Diarrhoea in the critically ill". Curr Opin Crit Care. 21 (2): 142–53. doi:10.1097/MCC.0000000000000188. PMID 25692805.
- ↑ McMahan ZH, DuPont HL (2007). "Review article: the history of acute infectious diarrhoea management--from poorly focused empiricism to fluid therapy and modern pharmacotherapy". Aliment. Pharmacol. Ther. 25 (7): 759–69. doi:10.1111/j.1365-2036.2007.03261.x. PMID 17373914.
- ↑ Schiller LR (2012). "Definitions, pathophysiology, and evaluation of chronic diarrhoea". Best Pract Res Clin Gastroenterol. 26 (5): 551–62. doi:10.1016/j.bpg.2012.11.011. PMID 23384801.
- ↑ Giannella RA (1986). "Chronic diarrhea in travelers: diagnostic and therapeutic considerations". Rev. Infect. Dis. 8 Suppl 2: S223–6. PMID 3523719.