The different pathogens causing diarrhoea, source and treatment
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Hamburger: Undercooked beef | Invasive bacteria: fever, blood in stools, faecal leukocyte in stool | No antibiotic Supportive, if needed Plasmapheresis | Haemolytic uraemic syndrome, thrombocytopaenia, renal failure
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| C. difficile | Prolonged use of antibiotics | show | 1)Metronidazole 2)Oral Vancomycin (not IV vanc. as low conc.) 3) IV metranidazole | Psuedomembranous collitis.
C.diff toxin in stool
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| show | Food and water | Invasive bacteria. Abdo pain in right lower quadrant mimicing appendicitis | Stool culture and Elisa Ceftriaxone+Gentamycin or Fluroquinolone |
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| Amebiasis | Hx of travel | Fever abdominal pain, bloody diarrhoea | show | Mucosal thickening and classic flask shaped ulcer.
May mimic UC.
Complication: Hepatic Abscess
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| show | Diary products and meat | Toxigenic: watery diarrhoea, no blood, no fever, no faecal luecocyte. Vomiting more prominent than diarrhoea | Supportive | Rapid onset within <8 h.
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| Bacillus Cereus | Reheated rice | Toxigenic Vomiting more prominent than diarrhoea | Supportive | show 🗑
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| Clostritium Perfringens | show | TOxigenic Diarrhoea more prominent than vomiting | Supportive |
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| Enterotoxigenic Ecoli | Hx of travel | DIarrhoea more prominent than vomiting | Ciprofloxacin | show 🗑
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| Vibrio Parahaemolyticus | Sea food | Toxigenic Diarrhoea more prominent than vomiting | show |
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| Vibrio cholera | show | Toxigenic Diarrhoea more prominent | IV fluids + Tetracycline |
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| Viral gasteroenteritis | Most common | show |
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| Campylobacter Jejuni | Eating undercooked poultry | Invasive bacteria: fever, blood in stools, faecal leukocyte in stool | show | Reactive arthritis, Gulliane Barre syndrome
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| Shigella | show | Invasive bacteria: fever, blood in stools, faecal leukocyte in stool | Ciprofloxacin | Haemolytic Uraemic syndrome, Reactive arthritis
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| Salmonella | Poor kitchen hygiene, not cleaning food, poorly thawed food. | Invasive bacteria | Do not give antibiotics as it prolongs the carrier state. Indications of antibiotics: Bacteraemia or immunicompromised patient, hx of aortic aneurysm. Ciprofloxaccin | show 🗑
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Created by:
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