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]
Entire Body System
- 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
- 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). [nlm.nih.gov]
- Green Stools
stools without blood) and vomiting (eight yellow non-bilious vomits). [ncbi.nlm.nih.gov]
Skin
- Tropical Ulcer
ulcerated, ulcerating, ulceration, ulcerative 707.9 dysenteric NEC 009.0 [icd9data.com]
- Perianal Excoriation
She is an active baby with perianal excoriation and a weight of 5.5 kg. She has a sunken fontanelle and decreased skin turgor (pinch test 3 sec). She passes urine during the examination. [ncbi.nlm.nih.gov]
Psychiatrical
- Impulsivity
Instead impulses from the CTZ are relayed to the vomiting center, which coordinates the various physiological functions involved in vomiting. [doi.org]
Neurologic
- Extrapyramidal Symptoms
[…] the intent of decreasing the rate of dehydration and increasing the efficiency of oral rehydration solutions. 4, 5 The potential benefits of using antiemetics, however, should always be weighed against possible adverse effects, such as lethargy and extrapyramidal [ncbi.nlm.nih.gov]
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]
Other ECG Findings
- Ischemic Changes
SSIS is useful for preserving the intestinal absorptive function in patients with a long narrowed bowel loop caused by ischemic change. [ncbi.nlm.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 [doi.org]
This review compared the efficacy of various antiemetic drugs versus placebo or no treatment in cases of acute vomiting due to gastroenteritis among children and adolescents. [scielo.br]
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]
Pathophysiology
Abstract Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is a rare disease of unclear origin and pathophysiology. Treatment is symptomatic, with no particular medical therapy except for corticosteroids. [ncbi.nlm.nih.gov]
Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 16. Updated by: Michael M. [medlineplus.gov]
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]
(Image courtesy of the Centers for Disease Control and Prevention.) [mountsinai.org]
Can a stomach virus be prevented or avoided? A flu shot will not prevent a stomach virus. The flu shot only prevent the influenza virus. That is a respiratory illness. The norovirus can change over time. Therefore, vaccines are still being studied. [familydoctor.org]
Prevention methods for enteritis include proper food preparation, hygiene, and cleanliness. [medicalnewstoday.com]