Chapter 040. Diarrhea and Constipation (Part 5)
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Table 40-2 Association between Pathobiology of Causative Agents and Clinical Features in Acute Infectious Diarrhea Pathobiolo gy/Agents bation Incu miting Vo Abd ominal Pain ever F rrhea Dia Period Toxin producers Preforme d toxin Bacillus cereus, Staphylococcus aureus, h 1–8 4+ 3– 1–2+ –1+ 0 4+, watery 3– Clostridi um perfringens h 8–24 Enterotox in Vibrio cholerae, enterotoxigenic Escherichia coli, Klebsiella pneumoniae, Aeromonas h 8–72 4+ 2– 1–2+ –1+ 0 4+, watery 3– species Enteroadhe rent Enteropat hogenic and d 1–8 1+ 0– 1–3+ –2+ 0 2+, 1– enteroadherent E. coli, Giardia watery, mushy organisms, cryptosporidiosis, helminths Cytotoxinproducers Clostridiu m difficile d 1–3 1+ 0– 3–4+ –2+ 1 3+, 1– usually watery, occasional ly bloody ...
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Chapter 040. Diarrhea and
(Part 5)
Table 40-2 between of Causative Agents and Features in Acute Diarrhea
Period
Pain
F
ever
Toxin
toxin
Bacillus
cereus,
aureus,
1–8
h
3–
4+
1–2+ 0
–1+
3–
4+,
watery
8–24
h
Vibrio coli,
8–72
h
2–
4+
1–2+ 0
–1+
3–
4+,
watery
and E.
coli, Giardia
1–8
d
0–
1+
1–3+ 0
–2+
1–
2+,
watery,
mushy
difficile
1–3
d
0–
1+
3–4+ 1
–2+
1–
3+,
usually
watery, bloody
E. coli
12–
72 h
0–
1+
3–4+ 1
–2+
1–
3+,
watery,
quickly
bloody
Minimal
and Norwalk
agent
1–3
d
1–
3+
2–3+ 3
–4+
1–
3+,
watery
Variable
and Aeromonas Vibrio
12
h–11 d
0–
3+
2–4+ 3
–4+
1–
4+,
watery or
bloody
Severe
Shigella E.
coli, Entamoeba
12
h–8 d
0–
1+
3–4+ 3
–4+
1–
2+,
bloody
Source: Adapted from DW Powell, in T Yamada (ed): Textbook of and 4th ed. Williams & 2003; and DR Syndman, in SL Gorbach (ed): Diarrhea.
London, 1986. diarrhea may be with systemic Reiter's syndrome and may or follow by Shigella, and may also lead to an and Both E. coli (O157:H7)
and Shigella can lead to the syndrome with an attendant high rate. The syndrome of IBS has now been as a of diarrhea. Acute diarrhea can also be a major symptom
of several systemic including viral
and toxic shock syndrome.