Chapter 040. Diarrhea and Constipation (Part 5)

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.