DiarrheaWang,KanDec31,2009GIDepartment,SRRSH第一页，共二十八页。第一页，共二十八页。第二页，共二十八页。第二页，共二十八页。第三页，共二十八页。第三页，共二十八页。CausativeagentSymptoms&HistoryCommentsBacilluscereusrefriedChinesefood,vomitingisprominent,bloodisneverpresentCampylobacterreactivearthritis,Guillain-Barresyndrome,Reiter’ssyndromeE.coliO157:H7contaminatedhamburgermeat,ShigatoxinprovokinghemolyticuremicsyndromeantibioticsandplatelettransfusionarecontradictedSalmonellaChicken,eggs,dairyproducts第四页，共二十八页。第四页，共二十八页。VibrioparahaemolyticusrawshellfishVibriovulnificusrawshellfish,especiallyinpatientswithunderlyingliverdiseasesironmetabolismdisorder.AssociatedwithskinbulleaShigella,Yersinianocluesarestrongenoughtopointtheetiologyuntiltheresultsofstoolculture第五页，共二十八页。第五页，共二十八页。Scombroidspatientsingestingcontaminatedfishexperiencesvomiting,diarrhea,flushing,andwheezingwithinminutesorganisminvade,producingthenreleasinghistamineintocontaminatedfishViralchildrenindaycarecanter,absenceofbloodandWBCEntamoebahistolyticabloodymucusdiarrhea,abdominalcramp,fever,liverabscessdirectsmearCryptosporidiafoundinHIV+patientswith<100/mm3CD4cellsGiardiaunfilteredwater,bloodabsent,bloatingandgasGiardiacansimulateaceliacdiseaseintermsoffatandvitaminmalabsorption,ifnoteradicated第六页，共二十八页。第六页，共二十八页。Clostridiumdifficiledaystoweeksafterantibioticuse,C.difficiletoxintest.Metronidazole,oralvancomycinClostridiumperfringenwaterydiarrhea,abdominalcramps,distention.Fever/vomitingisuncommonAntibioticsarenotusedasaprimarytreatment.Clostridiumbotulinumcontaminatedcanfood,constipation,doublevision,slurredspeech,muscleweaknessC.Botulinumtoxintest,antitoxingent,Antibioticsarenotusedasaprimarytreatment第七页，共二十八页。第七页，共二十八页。Nathanetal,NEnglJMed.2004;350:38-47.第八页，共二十八页。第八页，共二十八页。第九页，共二十八页。第九页，共二十八页。第十页，共二十八页。第十页，共二十八页。第十一页，共二十八页。第十一页，共...
