Presentation
This case presented initially with acute profuse watery diarrhea. The bacterial and virus cultures were negative. Tuberculous enteritis was diagnosed by detecting Mycobacterium tuberculosis on stool culture 52 days after presentation. [ncbi.nlm.nih.gov]
It is acquired from the ingestion of food or water contaminated with faeces, presenting with symptoms of bloody diarrhoea, abdominal pain, and fever. [teachmesurgery.com]
Tuberculous peritonitis may present simultaneously with tuberculous infection of the intestine (due to contiguous spread or bowel perforation), but it may also present independently (likely due to hematogenous seeding of the peritoneum). [visualdx.com]
Entire Body System
- Pain
Clinical symptoms mostly included abdominal pain (97%), vomiting (42%), diarrhea (32%) and fever (20%). [ncbi.nlm.nih.gov]
Children with significant abdominal pain. Replace deficit over first 6 hours and then give daily maintenance over the next 18 hours. [rch.org.au]
- Fever
Other symptoms can include nausea, fever, and chills. [britannica.com]
Signs and symptoms Symptoms usually last 1 or 2 days and include: mild fever nausea and vomiting stomach cramps diarrhoea. Diagnosis Diagnosis is based on the clinical presentation. [sahealth.sa.gov.au]
There may be a prodrome of fatigue, fever, or myalgia followed by nausea, abdominal cramps, and diarrhoea. [teachmesurgery.com]
What is enteric fever and how might fluoroquinolones work? Enteric fever is a common term for two similar clinical illnesses known individually as typhoid fever and paratyphoid fever. [doi.org]
- Weakness
Dehydration is most common in babies, young children, older adults, and people with weak immune systems. NIH: National Institute of Diabetes and Digestive and Kidney Diseases [medlineplus.gov]
Children, older adults and adults with weak immune systems may need to drink oral rehydration solutions to prevent dehydration. The primary goal of treatment is to reduce symptoms. [wexnermedical.osu.edu]
Symptoms include: diarrhoea (can be watery, bloody or mucous) stomach cramps feeling sick and weak lethargy loss of appetite feeling shivery headache fever. [healthnavigator.org.nz]
COMPLICATIONS Dehydration Excessive thirst Weakness Fatigue Lethargy Poor urine output and urine is dark colour dizziness 11. [slideshare.net]
We previously showed that NADH:quinone oxidoreductase 1 (NQO1) KO (knockout) mice spontaneously display weak gut inflammation and a marked loss of colonic epithelial tight junctions. [ncbi.nlm.nih.gov]
- Weight Loss
The amount of weight loss as a percentage of normal body weight provides the best estimate of degree of dehydration. Clinical signs are not present until the child has lost at least 4% of their body weight. [ncbi.nlm.nih.gov]
Assessment Examination No or mild dehydration <3% weight loss No physical signs or thirst, dry mucus membranes, reduced urine output Moderate dehydration 3-6% weight loss Dry mucus membranes, reduced urine output, tachycardia, sunken eyes, minimal or [pch.health.wa.gov.au]
Symptoms include fever, diarrhea, stomach cramps, vomiting, and weight loss. Regional enteritis increases the risk of colorectal cancer and small intestine cancer. It is a type of inflammatory bowel disease (IBD). Also called Crohn disease. [cancer.gov]
Clinical symptoms include mild, intermittent diarrhea, abdominal pain, weight loss, and fever. In prolonged cases there may be anemia and nutritional deficiency. [infoplease.com]
- Fatigue
Fatigue was self-rated by the Fatigue Severity Scale (FSS). Physical and mental health status and functional impairment was measured by the Medical Outcome Severity Scale-short Form-36 (SF-36). [ncbi.nlm.nih.gov]
Other symptoms include: fever sweats intestinal gas severe cramps loss of appetite nausea vomiting fatigue lethargy Certain strains of E. coli release a toxin that can trigger the destruction of red blood cells in children. [healthline.com]
Keywords: Failure to thrive, fatigue, genotypes, Giardia, irritable bowel syndrome, neglected diseases, post-infectious therapeutics, giardiasis, Giardia duodenalis, nitazoxanide, USEPA Method, IgG1, Cryptosporidium, immunomagnetic separation, immunofluorescence [doi.org]
COMPLICATIONS Dehydration Excessive thirst Weakness Fatigue Lethargy Poor urine output and urine is dark colour dizziness 11. [slideshare.net]
Gastrointestinal
- Diarrhea
Viral gastroenteritis, or viral diarrhea, is perhaps the most common type of diarrhea worldwide; rotaviruses, caliciviruses, Norwalk viruses, and adenoviruses are the most common causes. [britannica.com]
[…] on acute diarrhea in a 6 - 24 month-old hospitalized infants Turkisk J Paediatr 2006;48:115-8 [bestbets.org]
If diarrhea is very severe or you have a weak immune system, antibiotics may be needed. You can buy medicines at the drugstore that can help stop or slow diarrhea. [medlineplus.gov]
- Vomiting
Intravenous ondansetron and metoclopramide reduced the number of episodes of vomiting and hospital admission, and dimenhydrinate as a suppository reduced the duration of vomiting. [scielo.br]
The vomiting center, which controls and integrates the act of vomiting, is located close to other centers which regulate respiration, vasomotor, and other autonomic functions and that may play an additional role in vomiting. [doi.org]
- Abdominal Pain
Clinical symptoms mostly included abdominal pain (97%), vomiting (42%), diarrhea (32%) and fever (20%). [ncbi.nlm.nih.gov]
Children with significant abdominal pain. Replace deficit over first 6 hours and then give daily maintenance over the next 18 hours. [rch.org.au]
- Nausea
To save this word, you'll need to log in. gas·tro·en·ter·i·tis | \ ˌga-strō-ˌen-tə-ˈrī-təs \ Definition of gastroenteritis : inflammation of the lining membrane of the stomach and the intestines characterized especially by nausea, vomiting, diarrhea, [merriam-webster.com]
Foods to try include: Cereals, bread, potatoes, lean meats Plain yogurt, bananas, fresh apples Vegetables If you have diarrhea and are unable to drink or keep down fluids because of nausea or vomiting, you may need fluids through a vein (IV). [medlineplus.gov]
- Abdominal Cramps
Symptoms may include nausea, vomiting, diarrhea, and abdominal cramps (dull or sharp pains). Gastroenteritis may be caused by infection with bacteria, parasites, or viruses. [cancer.gov]
There may be a prodrome of fatigue, fever, or myalgia followed by nausea, abdominal cramps, and diarrhoea. [teachmesurgery.com]
Abstract Abdominal cramping and pain is a frequent problem in the adult population of Western countries, with an estimated prevalence of < or =30%. [ncbi.nlm.nih.gov]
The symptoms are extremely variable but usually include continuous or intermittent diarrhea, occasionally bloody, accompanied by painful abdominal cramps. [britannica.com]
Other symptoms include headache, fever, and abdominal cramps. In general, the symptoms begin 1 – 2 days following infection with a virus that causes gastroenteritis. [chp.gov.hk]
Skin
- Sweating
Other symptoms include: Abdominal pain or cramping Nausea Vomiting Fever Poor feeding (in infants) Unintentional weight loss (may be a sign of dehydration) Excessive sweating Clammy skin Muscle pain or joint stiffness Incontinence (loss of stool control [my.clevelandclinic.org]
While traveling, people feel nauseated and dizzy and may break into a cold sweat and start hyperventilating. Doctors base the diagnosis on symptoms and the situations in which they occur. [merck.com]
Other symptoms include: fever sweats intestinal gas severe cramps loss of appetite nausea vomiting fatigue lethargy Certain strains of E. coli release a toxin that can trigger the destruction of red blood cells in children. [healthline.com]
Common symptoms include: Abdominal pain Diarrhea Nausea and vomiting Other symptoms may include: Chills, clammy skin, or sweating Fever Joint stiffness or muscle pain Poor feeding Weight loss The health care provider will look for signs of dehydration [medlineplus.gov]
- Skin Rash
Other adverse events, including gastrointestinal adverse events, systemic symptoms such as weakness or fatigue, central nervous system effects such as headache or dizziness, and dermatologic effects such as skin rashes. [doi.org]
- Eczema
Eczema, atopic diseases, such as asthma, may be accompanied. EGE affects both sexes and all age groups but most of the cases are older than 30 years. It is difficult to determine the actual frequency or prevalence of EGE. [dx.doi.org]
Musculoskeletal
- Myalgia
Identification of viral gastroenteritis (not rotavirus) Clinical features Illness is characterised by acute onset of symptoms, including fever, myalgias, headache, nausea, vomiting, abdominal cramps and watery diarrhoea, lasting 12–60 hours. [www2.health.vic.gov.au]
There may be a prodrome of fatigue, fever, or myalgia followed by nausea, abdominal cramps, and diarrhoea. [teachmesurgery.com]
Some of the early symptoms include nausea, a sudden onset of vomiting, moderate diarrhea, headache, fever (~50%), chills, and myalgia and will last 12-60 hours. [emedicine.medscape.com]
Neurologic
- Lethargy
Children Signs of dehydration, such as thirst and decreased urination, lethargy, dry mouth, sunken eyes, feeling faint on standing fever abdominal pain bloody diarrhoea any symptoms in a child less than 12 months of age. [sahealth.sa.gov.au]
See a doctor immediately if your child cannot keep down a sip of liquid or has dehydration (dry mouth, no urine for 6 hours or more, or lethargy). Babies under 6 months should always be seen by a doctor if they have gastro. [healthdirect.gov.au]
COMPLICATIONS Dehydration Excessive thirst Weakness Fatigue Lethargy Poor urine output and urine is dark colour dizziness 11. [slideshare.net]
If you notice a sunken fontanelle (the soft spot on the top of their skull), extreme thirst, fewer or no wet nappies, dry skin, or severe irritability or lethargy, take them to the emergency room. If in doubt, seek medical attention. [gleneagles.com.sg]
Other symptoms include: fever sweats intestinal gas severe cramps loss of appetite nausea vomiting fatigue lethargy Certain strains of E. coli release a toxin that can trigger the destruction of red blood cells in children. [healthline.com]
Urogenital
- Oliguria
[…] sometimes bloody feces abdominal pain abdominal cramping fever, headaches, and muscle pain, which are usually experienced during the first 24 hours of infection dehydration, which may also cause dizziness, nausea, headaches, dry mouth, tiredness, and oliguria [healthline.com]
Workup
There was non-specific inflammation found in the biopsy specimen taken on colonoscopy and her autoimmune workup showed ANA and anti-ds-DNA positive. She was treated with high dose of intravenous steroids and recovered. [ncbi.nlm.nih.gov]
In the second group (starting from April 2014, except for specimens in which the amount of reagent was insufficient) testing for norovirus was added to the routine diagnostic workup. [analesdepediatria.org]
The initial workup of persistent travelers’ diarrhea should always include a C. difficile stool toxin assay. [wwwnc.cdc.gov]
Microbiology
- Staphylococcus Aureus
Methicillin-resistant Staphylococcus aureus as a cause of antibiotic-associated diarrhea. J Clin Gastroenterol. 2004;38:299–300. CrossRef PubMed Google Scholar 26. Batts DH, Silva J, Fekety R. Staphylococcus enterocolitis. [doi.org]
Bacteria that cause enteritis include Salmonella, E. coli, Staphylococcus aureus, Shigella and Campylobacter jejuni. [cerid.uw.edu]
PURPOSE: Staphylococcus aureus may cause antibiotic-associated diarrhea and enterocolitis, with or without preceding antibiotic use, in immunocompromised adults or infants, or individuals with predisposing conditions, but there is little appreciation [ncbi.nlm.nih.gov]
Food & Drug Administration (FDA), bacteria that most commonly cause food poisoning include: bacillus cereus campylobacter jejuni (C. jejuni) escherichia coli (E. coli) salmonella shigelia staphylococcus aureus (S. aureus) The FDA also list the food sources [medicalnewstoday.com]
- Helicobacter Pylori
Helicobacter pylori eradication. Am J Gastroenterol. 2007;102(5):951-95617313499 PubMed Google Scholar Crossref 66. Park SK, Park DI, Choi JS, et al. The effect of probiotics on Helicobacter pylori eradication. [doi.org]
Eight patients with non-celiac atrophy and 15 with lymphocytic enteritis secondary to Helicobacter pylori acted as control group. Duodenal biopsies were obtained to assess both CD IEL flow cytometric (complete or incomplete) and IF patterns. [ncbi.nlm.nih.gov]
The bacteria include Helicobacter pylori that can contaminate foods. It is separately mentioned here because it can cause gastric lymphoma if the disease is not cured and become chronic. [generali.co.th]
- Chlamydia
For proctitis associated with gonorrhea or chlamydia, retesting for the respective pathogen should be performed 3 months after treatment. [cdc.gov]
Colonoscopy
- Polyps
[…] small intestine.[2] Coeliac disease – caused by an autoimmune reaction to gluten by genetically predisposed individuals.[2] Eosinophilic enteropathy – a condition where eosinophils build up in the gastrointestinal tract and blood vessels, leading to polyp [en.wikipedia.org]
Calcium ingestion has been associated with decreased risk of development of adenomatous colon polyps; it is not known whether this translates into decreased rates of colon cancer. [consensus.nih.gov]
Treatment
Assuming treatment failure rate to be an extremely conservative proxy for dysentery deaths not preventable with prompt antibiotic treatment, it can be estimated that treatment of dysentery with ciprofloxacin, ceftriaxone or pivmecillinam will reduce diarrhoea [dx.doi.org]
For most people, radiation enteritis is temporary and the inflammation usually subsides several weeks after treatment ends. But for some, radiation enteritis may continue long after treatment ends or may develop months or years after treatment. [mayoclinic.org]
Prognosis
The patient had poor prognosis and deceased despite the prompt surgical intervention and the antiviral therapy he received. At pathology a remarkable finding was the presence of viral inclusions in smooth muscle fibers. [ncbi.nlm.nih.gov]
Outlook (Prognosis) Symptoms most often go away without treatment in a few days in otherwise healthy people. Possible Complications Dehydration Long-term diarrhea Note: In babies, the diarrhea can cause severe dehydration that comes on very quickly. [nicklauschildrens.org]
Expectations (prognosis) Symptoms usually go away without treatment in a few days. Complications Dehydration Prolonged diarrhea Note: The diarrhea can cause rapid and extreme dehydration in babies. [indiatoday.in]
Outlook (Prognosis) Symptoms most often go away without treatment in a few days in otherwise healthy people. [ufhealth.org]
Etiology
Bacteriologic and parasitologic advances made during the past century led to the discovery of the etiology of some of the diarrheal illnesses, but the etiology of the major portion remained unknown. [ncbi.nlm.nih.gov]
Epidemiology
This review covers the four most common causes of adult viral gastroenteritis, Calicivirirdae (predominantly noroviruses), astroviruses, enteric adenoviruses and rotaviruses focussing on their epidemiologic, structural, pathogenic and clinical aspects [doi.org]
Contents Epidemiology in New Zealand Case definition Notification procedure Management of case Management of contacts Other control measures Epidemic control Reporting References and further information Epidemiology in New Zealand Episodes and outbreaks [health.govt.nz]
In this paper we study the epidemiology of acute gastroenteritis virus before and after the implantation of the Norovirus GI+GII CerTest. [analesdepediatria.org]
Pathophysiology
Its origin and pathophysiology have not been established. Clinicopathologic features include unexplained small bowel strictures with superficial ulceration, chronic or relapsing occlusion episodes. [ncbi.nlm.nih.gov]
Now in full color, Harrison's Principles of Internal Medicine continues to define the practice of medicine-encompassing all the essential aspects - basic science, pathophysiology, clinical signs/symptoms, diagnosis, and up-to-date treatment. [books.mcgraw-hill.com]
Prevention
Prevention Exclude people with viral gastroenteritis from childcare, preschool, school and work until there has been no diarrhoea or vomiting for 24 hours. [sahealth.sa.gov.au]
Prevention methods for enteritis include proper food preparation, hygiene, and cleanliness. [medicalnewstoday.com]