Infectious colitis differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Qasim Salau, M.B.B.S., FMCPaed [2]
Overview
Symptoms and signs of infectious colitis are seen in other causes of colitis and some systemic diseases. Therefore, detailed history, physical examination and laboratory tests are needed to make the diagnosis. In addition, endoscopy with biopsy may be required to confirm the diagnosis. In infants and young children, infectious colitis must be differentiated from allergic colitis, necrotizing enterocolitis, intussusception, volvolus and early onset inflammatory bowel disease. In adolescents and adults, infectious colitis must be differentiated from inflammatory bowel disease and colorectal malignancy.[1][2]
Differentiating Infectious colitis from other Diseases
The differential diagnosis of allergic colitis can be classified into two according to age group.
Differential diagnosis in Infants/ young children
- Allergic colitis
- Necrotizing enterocolitis especially in preterm babies
- Intussusception
- Hirschsprung disease complicated by enterocolitis
- Volvolus
- Inflammatory bowel disease early onset)
Differential diagnosis in adolescent/ adult
- Inflammatory bowel disease
- Diverticulosis
- Allergic colitis
- Henoch-Schonlein purpura
- Systemic lupus erythematosus(SLE)
- Colorectal malignancy
- Behcet's disease
References
- ↑ Palle SK, Prasad M, Kugathasan S (2016). "Approach to a Child with Colitis". Indian J Pediatr. doi:10.1007/s12098-016-2091-5. PMID 27080713.
- ↑ DuPont HL (2012). "Approach to the patient with infectious colitis". Curr Opin Gastroenterol. 28 (1): 39–46. doi:10.1097/MOG.0b013e32834d3208. PMID 22080825.