Microsporidiosis differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
Ahmed Younes (talk | contribs) No edit summary |
m (Bot: Removing from Primary care) |
||
| (11 intermediate revisions by 5 users not shown) | |||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Microsporidiosis]] | |||
{{CMG}}; {{ | {{CMG}}; {{AE}} {{Ochuko}} {{AY}} | ||
==Overview== | ==Overview== | ||
Microsporidiosis should be differentiated from other conditions that cause [[chronic diarrhea]] in immunocompromised patients. | Microsporidiosis should be differentiated from other conditions that cause [[chronic diarrhea]] in [[Immunocompromised|immunocompromised patients]]. | ||
==Differentiating Microsporidiosis from other Diseases== | ==Differentiating Microsporidiosis from other Diseases== | ||
===Differential Diagnosis=== | ===Differential Diagnosis=== | ||
Microsporidiosis must be differentiated from other diseases that may cause [[chronic diarrhea]], [[weight loss]], and [[abdominal pain]] especially in [[Immunocompromised|immunocompromised patients]]. | |||
{| style="border: 0px; font-size: 120%; margin: 3px; width: | {| style="border: 0px; font-size: 120%; margin: 3px; width:1000px;" align="center" | ||
|+ | |+ | ||
| Line 16: | Line 16: | ||
! style="background: #4479BA; color:#FFF; width: 200px;" | Laboratory or radiological findings | ! style="background: #4479BA; color:#FFF; width: 200px;" | Laboratory or radiological findings | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Giardiasis|Chronic giardiasis]] | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Giardiasis|Chronic giardiasis]]<ref name="pmid11113253">{{cite journal |vauthors=Thompson RC |title=Giardiasis as a re-emerging infectious disease and its zoonotic potential |journal=Int. J. Parasitol. |volume=30 |issue=12-13 |pages=1259–67 |year=2000 |pmid=11113253 |doi= |url=}}</ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* [[Giardiasis|Chronic giardiasis]] may develop after | * [[Giardiasis|Chronic giardiasis]] may develop after acute episode of giardiasis or without any acute events. | ||
* Loose foul smelling stools | * Loose foul smelling stools | ||
* [[Flatulence]] | * [[Flatulence]] | ||
| Line 32: | Line 32: | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Cryptosporidiosis]] | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Cryptosporidiosis]]<ref name="pmid17172373">{{cite journal |vauthors=Sánchez-Vega JT, Tay-Zavala J, Aguilar-Chiu A, Ruiz-Sánchez D, Malagón F, Rodríguez-Covarrubias JA, Ordóñez-Martínez J, Calderón-Romero L |title=Cryptosporidiosis and other intestinal protozoan infections in children less than one year of age in Mexico City |journal=Am. J. Trop. Med. Hyg. |volume=75 |issue=6 |pages=1095–8 |year=2006 |pmid=17172373 |doi= |url=}}</ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* [[Incubation period]] is 7-10 days. | * [[Incubation period]] is 7-10 days. | ||
| Line 46: | Line 46: | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Microscopic identification of the [[organism]] in the stool: The [[oocysts]] appear red on staining with modified acid fast staining | * Microscopic identification of the [[organism]] in the stool: The [[oocysts]] appear red on staining with modified acid fast staining | ||
* [[PCR]]: | * [[PCR]]: Most specific and sensitive diagnostic tool. [[PCR]] is expensive and used in limited cases. | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Cystoisospora belli|Cystoisosporiasis (isosporiasis)]] | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Cystoisospora belli|Cystoisosporiasis (isosporiasis)]]<ref name="pmid1889046">{{cite journal |vauthors=Current WL, Garcia LS |title=Cryptosporidiosis |journal=Clin. Microbiol. Rev. |volume=4 |issue=3 |pages=325–58 |year=1991 |pmid=1889046 |pmc=358202 |doi= |url=}}</ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* [[Cystoisospora belli|Cystoisosporiasis]] is usually seen in [[Immunocompromised|immunocompromised patients]]. | * [[Cystoisospora belli|Cystoisosporiasis]] is usually seen in [[Immunocompromised|immunocompromised patients]]. | ||
| Line 61: | Line 61: | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Tropical sprue]] | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Tropical sprue]]<ref name="pmid1091526">{{cite journal |vauthors=Klipstein FA, Schenk EA |title=Enterotoxigenic intestinal bacteria in tropical sprue. II. Effect of the bacteria and their enterotoxins on intestinal structure |journal=Gastroenterology |volume=68 |issue=4 Pt 1 |pages=642–55 |year=1975 |pmid=1091526 |doi= |url=}}</ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* History of travel to a tropical region (for a period more than a month) | * History of travel to a tropical region (for a period more than a month) | ||
| Line 77: | Line 77: | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Ophthalmology]] | |||
[[Category:Neurology]] | |||
[[Category:Dermatology]] | |||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
Latest revision as of 22:43, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2] Ahmed Younes M.B.B.CH [3]
Overview
Microsporidiosis should be differentiated from other conditions that cause chronic diarrhea in immunocompromised patients.
Differentiating Microsporidiosis from other Diseases
Differential Diagnosis
Microsporidiosis must be differentiated from other diseases that may cause chronic diarrhea, weight loss, and abdominal pain especially in immunocompromised patients.
| Disease | Prominent clinical findings | Laboratory or radiological findings |
|---|---|---|
| Chronic giardiasis[1] |
|
|
| Cryptosporidiosis[2] |
|
|
| Cystoisosporiasis (isosporiasis)[3] |
|
|
| Tropical sprue[4] |
|
|
References
- ↑ Thompson RC (2000). "Giardiasis as a re-emerging infectious disease and its zoonotic potential". Int. J. Parasitol. 30 (12–13): 1259–67. PMID 11113253.
- ↑ Sánchez-Vega JT, Tay-Zavala J, Aguilar-Chiu A, Ruiz-Sánchez D, Malagón F, Rodríguez-Covarrubias JA, Ordóñez-Martínez J, Calderón-Romero L (2006). "Cryptosporidiosis and other intestinal protozoan infections in children less than one year of age in Mexico City". Am. J. Trop. Med. Hyg. 75 (6): 1095–8. PMID 17172373.
- ↑ Current WL, Garcia LS (1991). "Cryptosporidiosis". Clin. Microbiol. Rev. 4 (3): 325–58. PMC 358202. PMID 1889046.
- ↑ Klipstein FA, Schenk EA (1975). "Enterotoxigenic intestinal bacteria in tropical sprue. II. Effect of the bacteria and their enterotoxins on intestinal structure". Gastroenterology. 68 (4 Pt 1): 642–55. PMID 1091526.