慢性腹泻的感染性病因。

Infectious causes of chronic diarrhoea.

机构信息

Department of Medicine, Division of Gastroenterology, University of Washington School of Medicine, Seattle, WA 98104, USA.

出版信息

Best Pract Res Clin Gastroenterol. 2012 Oct;26(5):563-71. doi: 10.1016/j.bpg.2012.11.001.

DOI:10.1016/j.bpg.2012.11.001

PMID:23384802

Abstract

Infections are an uncommon cause of chronic diarrhoea. Parasites are most likely, including protozoa like giardia, cryptosporidia and cyclospora. Bacteria are unlikely to cause chronic diarrhoea in immunocompetent individuals with the possible exception of Yersinia, Plesiomonas and Aeromonas. Infectious diarrhoea can trigger other causes of chronic diarrhoea, including inflammatory bowel disease, irritable bowel syndrome and "Brainerd-type" diarrhoea. A thorough evaluation should detect most infections causing chronic diarrhoea.

摘要

感染是慢性腹泻的一个不常见原因。寄生虫是最有可能的病因，包括贾第虫、隐孢子虫和环孢子虫等原生动物。在免疫功能正常的个体中，细菌不太可能导致慢性腹泻，但耶尔森菌、类志贺邻单胞菌和气单胞菌除外。感染性腹泻可引发其他慢性腹泻病因，包括炎症性肠病、肠易激综合征和“Brainerd 型”腹泻。全面评估应能发现大多数导致慢性腹泻的感染。