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==Differentiating Salmonellosis from Other Diseases== | ==Differentiating Salmonellosis from Other Diseases== | ||
Salmonellosis should be differentiated from other pathogens that lead to acute inflammatory diarrhea: | Salmonellosis should be differentiated from other pathogens that lead to acute inflammatory diarrhea:<ref name="pmid14702426">{{cite journal| author=Thielman NM, Guerrant RL| title=Clinical practice. Acute infectious diarrhea. | journal=N Engl J Med | year= 2004 | volume= 350 | issue= 1 | pages= 38-47 | pmid=14702426 | doi=10.1056/NEJMcp031534 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14702426 }} </ref><ref name="pmid15537721">{{cite journal| author=Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA| title=Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study. | journal=J Trop Pediatr | year= 2004 | volume= 50 | issue= 6 | pages= 354-6 | pmid=15537721 | doi=10.1093/tropej/50.6.354 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15537721 }} </ref> | ||
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center | {| style="border: 0px; font-size: 90%; margin: 3px;" align=center | ||
! style="background: #4479BA; padding: 5px 5px;" rowspan=2 | {{fontcolor|#FFFFFF|Pathogen}} | ! style="background: #4479BA; padding: 5px 5px;" rowspan=2 | {{fontcolor|#FFFFFF|Pathogen}} | ||
! style="background: #4479BA; padding: 5px 5px;" rowspan=2 | {{fontcolor|#FFFFFF|Transmission}} | ! style="background: #4479BA; padding: 5px 5px;" rowspan=2 | {{fontcolor|#FFFFFF|Transmission}} | ||
| Line 13: | Line 12: | ||
! style="background: #4479BA; padding: 5px 5px;" | {{fontcolor|#FFFFFF|Bloody Stool}} | ! style="background: #4479BA; padding: 5px 5px;" | {{fontcolor|#FFFFFF|Bloody Stool}} | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Salmonella]] | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Salmonella]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Outbreaks due to foodborne transmission, community-acquired | | style="padding: 5px 5px; background: #F5F5F5;" | Outbreaks due to foodborne transmission, community-acquired | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Shigella]] | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Shigella]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Community-acquired, person-to-person | | style="padding: 5px 5px; background: #F5F5F5;" | Community-acquired, person-to-person | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Campylobacter]] | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Campylobacter]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Community-acquired, ingestion of undercooked poultry | | style="padding: 5px 5px; background: #F5F5F5;" | Community-acquired, ingestion of undercooked poultry | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Escherichia coli|E. coli (EHEC or EIEC)]] | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Escherichia coli|''E. coli'' (EHEC or EIEC)]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Foodborne transmission, ingestion of undercooked hamburger meat | | style="padding: 5px 5px; background: #F5F5F5;" | Foodborne transmission, ingestion of undercooked hamburger meat | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ± | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Clostridium difficile]] | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Clostridium difficile]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Nosocomial spread, antibiotic use | | style="padding: 5px 5px; background: #F5F5F5;" | Nosocomial spread, antibiotic use | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | | ! style="padding: 5px 5px; background: #F5F5F5;" | ± | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Yersinia]] | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Yersinia]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Community-aquired, foodborne transmission | | style="padding: 5px 5px; background: #F5F5F5;" | Community-aquired, foodborne transmission | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Entamoeba histolytica]] | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Entamoeba histolytica]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | Travel to or emigration from tropical regions | | style="padding: 5px 5px; background: #F5F5F5;" | Travel to or emigration from tropical regions | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ± | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | | ! style="padding: 5px 5px; background: #F5F5F5;" | ± | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Aeromonas]] | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Aeromonas]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Ingestion of contaminated water | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | ++ | |||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | [[Plesiomonas]] | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" | ''[[Plesiomonas]]'' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | Ingestion of contaminated water or undercooked shellfish, travel to tropical regions | ||
! style="padding: 5px 5px; background: #F5F5F5;" | | ! style="padding: 5px 5px; background: #F5F5F5;" | ± | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | ++ | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
! style="padding: 5px 5px; background: #F5F5F5;" | + | ! style="padding: 5px 5px; background: #F5F5F5;" | + | ||
|} | |} | ||
==References== | |||
{{reflist|2}} | |||
Latest revision as of 19:12, 21 August 2014
Differentiating Salmonellosis from Other Diseases
Salmonellosis should be differentiated from other pathogens that lead to acute inflammatory diarrhea:[1][2]
| Pathogen | Transmission | Clinical Manifestations | |||
|---|---|---|---|---|---|
| Fever | Nausea/Vomiting | Abdominal Pain | Bloody Stool | ||
| Salmonella | Outbreaks due to foodborne transmission, community-acquired | ++ | + | ++ | + |
| Shigella | Community-acquired, person-to-person | ++ | ++ | ++ | + |
| Campylobacter | Community-acquired, ingestion of undercooked poultry | ++ | + | ++ | + |
| E. coli (EHEC or EIEC) | Foodborne transmission, ingestion of undercooked hamburger meat | ± | + | ++ | ++ |
| Clostridium difficile | Nosocomial spread, antibiotic use | + | ± | + | + |
| Yersinia | Community-aquired, foodborne transmission | ++ | + | ++ | + |
| Entamoeba histolytica | Travel to or emigration from tropical regions | + | ± | + | ± |
| Aeromonas | Ingestion of contaminated water | ++ | + | ++ | + |
| Plesiomonas | Ingestion of contaminated water or undercooked shellfish, travel to tropical regions | ± | ++ | + | + |
References
- ↑ Thielman NM, Guerrant RL (2004). "Clinical practice. Acute infectious diarrhea". N Engl J Med. 350 (1): 38–47. doi:10.1056/NEJMcp031534. PMID 14702426.
- ↑ Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA (2004). "Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study". J Trop Pediatr. 50 (6): 354–6. doi:10.1093/tropej/50.6.354. PMID 15537721.