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]
Abstract: Viral gastroenteritis presents a major public health concern worldwide. It is mostly a disease of young children. However, acquired immunity may wane and symptomatic infection can also occur in adults. [doi.org]
Entire Body System
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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]
COMPLICATIONS Dehydration Excessive thirst Weakness Fatigue Lethargy Poor urine output and urine is dark colour dizziness 11. [slideshare.net]
There may be a prodrome of fatigue, fever, or myalgia followed by nausea, abdominal cramps, and diarrhoea. [teachmesurgery.com]
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Swinging Fever
It shows irregular, fragmented, and helmet shaped red blood cells (schistocytes) and an immature platelet The enteric fevers (due to Salmonella typhi and S paratyphi ) cause severe illness in young children, characterised by high swinging fever, diarrhoea [ncbi.nlm.nih.gov]
Gastrointestinal
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Abdominal Pain
Clinical symptoms mostly included abdominal pain (97%), vomiting (42%), diarrhea (32%) and fever (20%). [ncbi.nlm.nih.gov]
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Nausea
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]
Skipping day 2 antiemetic medications may improve chemotherapy induced delayed nausea and vomiting control: results of two pilot phase II trials. [scielo.br]
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Absent Bowel Sounds
Faint or absent bowel sounds can indicate hypokalemia. Examination of the extremities should be included because general perfusion and capillary refill can help in assessment of dehydration. [cdc.gov]
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Green Stools
stools without blood) and vomiting (eight yellow non-bilious vomits). [ncbi.nlm.nih.gov]
Skin
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Tropical Ulcer
(ulcerative) 009.0 due to specified organism NEC - see Enteritis, due to, by organism Endolimax nana - see Dysentery, amebic Entamoba, entamebic - see Dysentery, amebic Enteritis (acute) (catarrhal) (choleraic) (chronic) (congestive) (diarrheal) (exudative [icd9data.com]
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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
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Impulsivity
Instead impulses from the CTZ are relayed to the vomiting center, which coordinates the various physiological functions involved in vomiting. [doi.org]
Neurologic
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Akathisia
The adverse effects of metoclopramide in young children have been well documented and may include fatigue and such extrapyramidal phenomena as dystonia, dyskinesia, akathisia, opisthotonos, and oculogyric crises ( Taylor 1999 ). [doi.org]
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Extrapyramidal Symptoms
symptoms because it has no dopamine antagonist activity. 7 Common adverse events include headaches, constipation, and dizziness. 7, 8 Use for acute gastroenteritis While pharmacotherapy is not generally indicated for pediatric AGE, as many as 61% of [ncbi.nlm.nih.gov]
Urogenital
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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
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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
Despite steroid treatment and immunosuppressive therapy, she continued to complain of recurrent gastrointestinal symptoms and persistent anemia. [ncbi.nlm.nih.gov]
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]
Future treatment guidelines should incorporate ondansetron therapy for select children with gastroenteritis. [dx.doi.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
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]
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
The severity of enteritis was prevented by the prior administration of ampicillin, L-NAME, or aminoguanidine, but aggravated by that of indomethacin or rofecoxib. [ncbi.nlm.nih.gov]
In addition, current and future prevention and treatment options are discussed, including recent patents. [doi.org]
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]