PMID: 9658255Jul 11, 1998Paper

Persistent diarrhea in the returned traveler

Infectious Disease Clinics of North America
N M Thielman, R L Guerrant

Abstract

In conclusion, the causes of chronic diarrhea in the returned traveler are protean. Careful evaluation requires an understanding of where the traveler has been, when they were there, the type of diarrheal illness, medications taken, and knowledge of the patients' other medical problems. Protozoa, particularly G. lamblia, C. parvum, and C. cayatenensis, are among the more commonly identified agents. If the patient is immunocompromised, microsporidia and Isospora become more likely, and a prior history of antimicrobial use raises the possibility of C. difficile colitis. Occasionally helminths, which establish intimate contact with the intestinal mucosa, may also cause prolonged diarrhea. If these and other gastrointestinal insults, such as tropical sprue, small bowel overgrowth, lactose intolerance, and processes unrelated to travel are excluded by more invasive studies or clinical history, the patient can be reassured that idiopathic chronic diarrhea is usually self-limited.

References

May 15, 1992·Annals of Internal Medicine·T FlaniganD Kotler
Jul 1, 1991·The Journal of Infectious Diseases·E G LongM T Cohen
Apr 27, 1989·The New England Journal of Medicine·M WittnerH B Tanowitz
Apr 1, 1988·The Journal of Infectious Diseases·L R PetersenJ L Hadler
Feb 1, 1985·Journal of Pediatric Gastroenterology and Nutrition·D L Sutton, K R Kamath
Sep 1, 1974·The Journal of Infectious Diseases·L Jokippii, A M Jokipii
Sep 1, 1974·The Journal of Infectious Diseases·R E BrodskyM G Schultz
Jan 1, 1973·Scandinavian Journal of Infectious Diseases·A A Kettis, L Magnius
Feb 1, 1972·Annals of Internal Medicine·F R RicklesN Maldonado
Aug 21, 1969·The New England Journal of Medicine·G T MooreL H Newton
May 1, 1995·Trends in Biochemical Sciences·K Fiedler, K Simons
Feb 1, 1995·Diagnostic Microbiology and Infectious Disease·W E AldeenK Carroll
Jul 21, 1994·The New England Journal of Medicine·W R Mac KenzieJ B Rose
Apr 1, 1994·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·R Wurtz
Jan 1, 1993·The Journal of Infectious Diseases·E D MintzJ L Hadler
May 1, 1993·Diagnostic Microbiology and Infectious Disease·J E RosenblattS K Schneider
Jan 1, 1997·Emerging Infectious Diseases·R L Guerrant

❮ Previous
Next ❯

Citations

May 6, 2009·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·R J ten HoveJ J Verweij
Jul 27, 2001·Current Gastroenterology Reports·J W Sanders, D R Tribble
Feb 21, 2002·Current Infectious Disease Reports·Allen C. Cheng, Nathan M. Thielman
Mar 13, 2014·Journal of Crohn's & Colitis·J F RahierUNKNOWN European Crohn's and Colitis Organisation (ECCO)
Nov 17, 2001·Social Science & Medicine·L MacDougall, T Gyorkos
Aug 16, 2002·The New England Journal of Medicine·Edward T RyanKevin C Kain
Nov 4, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Bradley A Connor
Nov 26, 2010·Journal of Clinical Microbiology·Christopher R PolageCathy A Petti
Dec 7, 2006·Postgraduate Medical Journal·B S RamakrishnaA Mukhopadhya
Aug 14, 2010·Interdisciplinary Perspectives on Infectious Diseases·Lorenza Putignani, Donato Menichella
Jun 1, 2009·Journal of Crohn's & Colitis·J F RahierUNKNOWN European Crohn's and Colitis Organisation (ECCO)
Apr 24, 2010·Journal of Travel Medicine·Patrice AgnameyChristian P Raccurt
Nov 30, 2004·Veterinary Parasitology·E S DidierP J Didier
Apr 12, 2003·Primary Care·Joseph C Kolars, Philip R Fischer
Jun 1, 2018·Journal of Pediatric Gastroenterology and Nutrition·Dan TurnerRichard K Russell
Jun 16, 2005·Expert Review of Anti-infective Therapy·Elizabeth S DidierPeter J Didier
Apr 15, 2000·Scottish Medical Journal·C B Harris, P D Welsby
Jan 15, 2003·Current Infectious Disease Reports·Richard Goodgame
May 26, 2005·Archives of Pathology & Laboratory Medicine·Deirdre ChurchSameer Elsayed

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
P C Okhuysen
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Jon P FurunoJon Mark Hirshon
© 2022 Meta ULC. All rights reserved