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Traveler´s Diarreha, image, Steffen, R., Hill, D.& Herbert, H. (2015).…
Traveler´s Diarreha
Epidemiology
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least 1 additional symptom,
such as abdominal cramps,
tenesmus, nausea, vomiting, fever, or fecal urgency
The incidence of traveler’s diarrhea has decreased in countries with increasing economies and in some previously high-risk destinations with improved tourism infrastructure.
Clinical Manifestations
When pathogens invade the intestinal mucosa, resulting in systemic disease with gross blood mixed with stools and/or fever, traveler’s diarrhea has evolved into dysentery
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Long-term complications of traveler’s diarrhea can occur: postinfectious irritable bowel syndrome (PI-IBS) after traveler’s diarrhea
may occur in 3% to 17% of patients
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Etiology/Microbiology
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Ecoli,noroviruses, rotavirus,Salmonellaspecies,Campylobacterjejuni,
Shigella species,
Other patogens
Aeromonas species, Plesiomonas shigelloides,
enterotoxigenic Bacteroides fragilis, and Vibrio species; the parasites Giardia duodenalis, Cryptosporidium species, Entamoeba
histolytica, and Microsporidium
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Steffen, R., Hill, D.& Herbert, H. (2015). Traveler´s Diarrhea. A clinical Review doi:10.1001/jama.2014.17006
