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
- Inflammation
[…] enteritis infectious colitis, enteritis and gastroenteritis intestineitis intestine inflammation edit English gastroenteritis medical condition characterized by inflammation of the stomach and/or small intestine infectious diarrhea gastro stomach virus [wikidata.org]
Colitis (colon inflammation), collagenous Colitis (colon inflammation), microscopic Colitis cystica Colitis cystica profunda Colitis, collagenous Colitis, lymphocytic Colitis, microscopic Collagenous colitis Dietetic colitis Dietetic enteritis Dietetic [icd9data.com]
Contamination is mainly from two sources: food products from diseased poultry, hogs, and cattle;… enteritis …as the small intestine, and gastroenteritis includes stomach inflammation. [britannica.com]
- 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]
- 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]
- Falling
This virus circulates mainly in the fall and winter. Did you know? Viral gastroenteritis outbreaks occur every year in the Montréal region, as they do in the rest of Québec. [santemontreal.qc.ca]
Abortions Alcohol Assisted insemination Asthma and hay fever Bites, burns, cuts and pests Blood, organ and tissue Cancer Challenging behaviour Chemicals and contaminants Diabetes Dementia Dental care Drugs End of life care Essure contraceptive device Falls [sahealth.sa.gov.au]
Case studies in Brazil, Egypt, Mexico, and the Philippines confirm increases in the use of ORT which are concomitant with marked falls in mortality. [ncbi.nlm.nih.gov]
- Anemia
After surgery, the patient's symptoms were completely resolved and his anemia was corrected. [ncbi.nlm.nih.gov]
Chronic radiation enteritis can cause complications such as anemia, diarrhea and partial bowel obstruction. Treatment typically focuses on relieving signs and symptoms until the inflammation heals. [mayoclinic.org]
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]
- 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]
- Chronic Diarrhea
In this article we present a case of chronic diarrhea diagnosed EGE. The first step in diagnosing is suspecting EGE. It should be borne in mind in patients with chronic diarrhea. [ncbi.nlm.nih.gov]
Depending on the clinical setting and age group, it may be necessary to do a more comprehensive search for other underlying causes of chronic diarrhea. [web.archive.org]
- Tenesmus
Acute radiation enteritis is exceedingly common; virtually every patient has some manifestation of acute radiation-induced injury of the GI tract in the form of abdominal cramping, tenesmus, urgency, bleeding, diarrhea, and incontinence. [emedicine.medscape.com]
Proctitis is inflammation of the rectum (i.e., the distal 10–12 cm) that can be associated with anorectal pain, tenesmus, or rectal discharge. [cdc.gov]
First-line treatment for radiation proctitis and tenesmus includes enemas, for example, the sucralfate enema. [ncbi.nlm.nih.gov]
Cardiovascular
- Hypertension
He had previously taken medications for pulmonary hypertension and obstruction of both carotid arteries, and about 20 months earlier, he had been admitted due to hematochezia. Two sessions of angiography did not reveal the cause of hematochezia. [ncbi.nlm.nih.gov]
Etiology infection infective enteritis eosinophilic enteritis ischemia inflammatory bowel disease radiation radiation enteritis lymphoma intramural hemorrhage shocked bowel vasculitides portal hypertension hypoproteinemia sprue scleroderma systemic lupus [radiopaedia.org]
Acquired from contaminated water, acute schistosomiasis develops about a month after the initial infection, presenting with fever, malaise, abdominal pain, bloody diarrhoea, and hepatosplenomegaly (which can develop into chronic liver disease and portal hypertension [teachmesurgery.com]
It develops due to circulatory shock of mesenteric vessels in the absence of major vessel occlusion, often associated with an underlying condition such as hypertension, arrhythmia or diabetes.[12] Thus it has been considered to be associated with atherosclerosis [en.wikipedia.org]
Jaw & Teeth
- Oral Ulcers
Intestinal lesions may be ulcerative and less commonly hypertrophic on endoscopy. Mass lesions may be seen on abdominal imaging. In some cases, the infection can present with oral ulcers or it may mimic Crohn disease. [visualdx.com]
Nasogastric (NG) feeding allows continuous administration of ORS at a slow, steady rate for patients with persistent vomiting or oral ulcers. Clinical trials support using NG feedings, even for vomiting patients ( 45 ). [cdc.gov]
Skin
- Erythema
At that time, capsule endoscopy showed mucosal edema and erythema in the terminal ileum, suggesting healed ischemic enteritis. The patient was admitted again due to hematochezia. [ncbi.nlm.nih.gov]
Figure 1: Esophagogastroduodenoscopy images of A) gastritis with nodularity, erythema and spontaneous oozing, and B) terminal ileitis with punctate apthous ulcerations and blunting of villi in a 43-year-old man with local recurrence of melanoma and metastatic [cmaj.ca]
Oesophageal irritation, antibiotic‐associated colitis, headache and visual disturbances In children under 12 years of age causes dental hypoplasia and staining, benign intracranial hypertension Chloramphenicol Blood disorders, peripheral and optic neuritis, erythema [doi.org]
- Pruritus
[…] nervous system: Headache (9% to 27%), malaise/fatigue (9% to 13%) Gastrointestinal: Constipation (6% to 11%) 1% to 10%: Central nervous system: Drowsiness (8%), fever (2% to 8%), dizziness (4% to 7%), anxiety (6%), cold sensation (2%) Dermatologic: Pruritus [web.archive.org]
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
- Clostridium Perfringens
The economical impact of Clostridium perfringens is greater than anticipated. World Poult. 16:50-51. Lovland, A. y M. Kaldhusdal. 2001. [dsm.com]
Causes: Bacterial toxins- Clostridium perfringens toxins Types A, C-alpha and C-beta. The organism is transmitted by soil, dust, litter and faeces. Can be induced by choice of raw materials in feed and /or coccidiosis. [poultryworld.net]
Campylobacter spp, Clostridium difficile, Clostridium perfringens, and Salmonella spp are most commonly implicated, but many other organisms are likely involved. [ncbi.nlm.nih.gov]
Introduction An acute or chronic enterotoxemia seen in chickens, turkeys and ducks worldwide, caused by Clostridium perfringens and characterised by a fibrino-necrotic enteritis, usually of the mid- small intestine. [thepoultrysite.com]
Clostridial necrotizing enteritis is necrosis of the jejunum and ileum caused by Clostridium perfringens. Symptoms can range from mild diarrhea to septic shock and sometimes death. Diagnosis is by identifying C. perfringens type C toxin in stool. [msdmanuals.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]
HLA Type
- HLA-DQ2
INCLUSION CRITERIA: >18 years of age, HLA-DQ2/8+, negative coeliac serology and gluten-dependent lymphocytic enteritis, and GI symptoms, with clinical and histological remission at inclusion. [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]
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]