Difference between revisions of "Yersinia enterocolitica"
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*[[Appendicitis]] mimic | *[[Appendicitis]] mimic | ||
| − | == | + | ==Clinical Features== |
*[[Nausea and Vomiting]] | *[[Nausea and Vomiting]] | ||
*[[Abdominal Pain]] | *[[Abdominal Pain]] | ||
*[[Fever]] | *[[Fever]] | ||
| + | *watery diarrhea initially, becomes bloody | ||
*A smaller percentage will have pain and fever alone (mimicking [[Appendicitis]]) | *A smaller percentage will have pain and fever alone (mimicking [[Appendicitis]]) | ||
| − | == | + | ==Differential Diagnosis== |
| + | {{Diarrhea DDX}} | ||
| + | |||
| + | ==Evaluation== | ||
| + | *Stool culture | ||
| + | |||
| + | ==Management== | ||
*Tends to be self limiting | *Tends to be self limiting | ||
| − | *IVF | + | *Supportive care: IVF, pain control, antipyretics |
| + | *Severe disease may warrant [[ciprofloxacin]] and/or [[TMP-SMX]] | ||
==[[Antibiotic Sensitivities]]<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>== | ==[[Antibiotic Sensitivities]]<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>== | ||
| Line 161: | Line 169: | ||
==Table Overview== | ==Table Overview== | ||
{{Clinically Relevant Bacteria}} | {{Clinically Relevant Bacteria}} | ||
| + | |||
| + | ==Disposition== | ||
| + | |||
==See Also== | ==See Also== | ||
Latest revision as of 02:04, 26 February 2018
Contents
Background
- Cause of ileocecitis
- Appendicitis mimic
Clinical Features
- Nausea and Vomiting
- Abdominal Pain
- Fever
- watery diarrhea initially, becomes bloody
- A smaller percentage will have pain and fever alone (mimicking Appendicitis)
Differential Diagnosis
Acute diarrhea
Infectious
- Viral (e.g. rotavirus)
- Bacterial
- Campylobacter
- Shigella
- Salmonella (non-typhi)
- Escherichia coli
- E. coli 0157:H7
- Yersinia enterocolitica
- Vibrio cholerae
- Clostridium difficile
- Parasitic
- Toxin
Noninfectious
- GI Bleed
- Appendicitis
- Mesenteric Ischemia
- Diverticulitis
- Adrenal Crisis
- Thyroid Storm
- Toxicologic exposures
- Antibiotic or drug-associated
Watery Diarrhea
- Enterotoxigenic E. coli (most common cause of watery diarrhea)[1]
- Norovirus (often has prominent vomiting)
- Campylobacter
- Non-typhoidal Salmonella
- Enteroaggregative E. coli (EAEC)
- Enterotoxigenic Bacteroides fragilis
Traveler's Diarrhea
Evaluation
- Stool culture
Management
- Tends to be self limiting
- Supportive care: IVF, pain control, antipyretics
- Severe disease may warrant ciprofloxacin and/or TMP-SMX
Antibiotic Sensitivities[2]
Key
- S susceptible/sensitive (usually)
- I intermediate (variably susceptible/resistant)
- R resistant (or not effective clinically)
- S+ synergistic with cell wall antibiotics
- U sensitive for UTI only (non systemic infection)
- X1 no data
- X2 active in vitro, but not used clinically
- X3 active in vitro, but not clinically effective for Group A strep pharyngitis or infections due to E. faecalis
- X4 active in vitro, but not clinically effective for strep pneumonia
Table Overview
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