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.
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Ecoli 0157:H7 | Hamburger: Undercooked beef | show | No antibiotic Supportive, if needed Plasmapheresis | Haemolytic uraemic syndrome, thrombocytopaenia, renal failure
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show | Prolonged use of antibiotics | Invasive bacteria: fever, blood in stools, faecal leukocyte in stool | 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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show | Hx of travel | Fever abdominal pain, bloody diarrhoea | Elisa for amoeaba antigen using serum or stool - for acute. Metranidazole + Paromycin or Inodoquinol | 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 | show |
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Clostritium Perfringens | Rewarmed meat | show | Supportive |
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Enterotoxigenic Ecoli | Hx of travel | show | Ciprofloxacin |
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Vibrio Parahaemolyticus | show | Toxigenic Diarrhoea more prominent than vomiting | Supportive |
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Vibrio cholera | Contaminated water | show | IV fluids + Tetracycline |
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show | Most common | FEVER, VOmiting but no leucocyte present in stool, NO blood. |
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Campylobacter Jejuni | show | Invasive bacteria: fever, blood in stools, faecal leukocyte in stool | Ciprofloxacin or Erythromycin | Reactive arthritis, Gulliane Barre syndrome
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Shigella | Not washing hands and cleaning food products | Invasive bacteria: fever, blood in stools, faecal leukocyte in stool | Ciprofloxacin | show 🗑
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Salmonella | Poor kitchen hygiene, not cleaning food, poorly thawed food. | Invasive bacteria | show | * faecal leukocyt not present in salmonella*
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Created by:
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