What are the systemic symptoms of diarrhea?

Updated: Jan 31, 2020
  • Author: Stefano Guandalini, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

See the list below:

  • Associated systemic symptoms include the following:

    • Some enteric infections commonly have systemic symptoms, whereas others less commonly are associated with systemic features.

    • Table 2 outlines the frequency of some of these symptoms with particular organisms. It also outlines incubation periods and usual duration of symptoms of common organisms. Certain organisms (eg, C difficile, Giardia, Entamoeba species) may be associated with a protracted course.

    Table 2. Organisms and Frequency of Symptoms (Open Table in a new window)

    Organism

    Incubation

    Duration

    Vomiting

    Fever

    Abdominal Pain

    Rotavirus

    1-7 d

    4-8 d

    Yes

    Low

    No

    Adenovirus

    8-10 d

    5-12 d

    Delayed

    Low

    No

    Norovirus

    1-2 d

    2 d

    Yes

    No

    No

    Astrovirus

    1-2 d

    4-8 d

    +/-

    +/-

    No

    Calicivirus

    1-4 d

    4-8 d

    Yes

    +/-

    No

    Aeromonas species

    None

    0-2 wk

    +/-

    +/-

    No

    Campylobacter species

    2-4 d

    5-7 d

    No

    Yes

    Yes

    C difficile

    Variable

    Variable

    No

    Few

    Few

    C perfringens

    Minimal

    1 d

    Mild

    No

    Yes

    Enterohemorrhagic E coli

    1-8 d

    3-6 d

    No

    +/-

    Yes

    Enterotoxigenic E coli

    1-3 d

    3-5 d

    Yes

    Low

    Yes

    Plesiomonas species

    None

    0-2 wk

    +/-

    +/-

    +/-

    Salmonella species

    0-3 d

    2-7 d

    Yes

    Yes

    Yes

    Shigella species

    0-2 d

    2-5 d

    No

    High

    Yes

    Vibrio species

    0-1 d

    5-7 d

    Yes

    No

    Yes

    Y enterocolitica

    None

    1-46 d

    Yes

    Yes

    Yes

    Giardia species

    2 wk

    1+ wk

    No

    No

    Yes

    Cryptosporidium species

    5-21 d

    Months

    No

    Low

    Yes

    Entamoeba species

    5-7 d

    1-2+ wk

    No

    Yes

    No


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