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Travelers Diarrhea

 Syn. Traveler diarrhea

Signs & Symptoms

 Watery diarrhea
Note: Sudden onset
Ref: Uptodate [ Travelers' diarrhea: Clinical manifestations, diagnosis, and treatment]
Abdominal cramps
Ref: Uptodate [ Travelers' diarrhea: Clinical manifestations, diagnosis, and treatment] Cecil [ 919]
Abdominal discomfort
Ref: Uptodate [ Travelers' diarrhea: Clinical manifestations, diagnosis, and treatment] Cecil [ 919]
Dehydration #criteria
Note: due to Diarrhea
Ref: Cecil [ 919]

Physical Examination

 Low-grade fever
Ref: Uptodate [ Travelers' diarrhea: Clinical manifestations, diagnosis, and treatment] Cecil [ 919]

Lab / Serology

 Rotavirus
Note: Incidence peaks in the cooler fall and winter months, 1-3 day incubation period
Ref: Uptodate [ Travelers' diarrhea: Microbiology, epidemiology, and prevention] Harrison [ 47] Cecil [ 916]
Pus in stool (negative symptom)
Ref: Uptodate [ Travelers' diarrhea: Clinical manifestations, diagnosis, and treatment] Cecil [ 919]
Bloody stool (negative symptom)
Ref: Uptodate [ Travelers' diarrhea: Clinical manifestations, diagnosis, and treatment] Cecil [ 919]

Imagin Study

Complication

Risk Factors

Cause

 Norovirus
Note: Higher prevalence in cold-weather months, lasts 12–60 h.
Ref: Uptodate [ Travelers' diarrhea: Microbiology, epidemiology, and prevention] Harrison [ 407] Cecil [ 916]
Yersinia enterocolitica
Note: Nonmotile gram-negative rods, elf-limited diarrhea that lasts an average of 2 weeks, has been linked to reactive arthritis in HLA-B27-positive pts
Ref: Uptodate [ Travelers' diarrhea: Microbiology, epidemiology, and prevention] Harrison [ 414]
Clostridioides difficile
Note: Travelers who have taken antibiotics in the preceding 8 to 12 weeks, obligately anaerobic, gram-positive, spore-forming bacillus, most commonly acquired in the hospital
Ref: Uptodate [ Travelers' diarrhea: Microbiology, epidemiology, and prevention] Harrison [ 415]

Other