Table 1.
Pathogen | Type | Symptoms | Duration | Inflammation | Increased secretion | Tight junctions | Decreased absorption | Loss of cells* |
Vibrio cholerae | gram (−) | profuse watery diarrhea | 3–4 days | + | +++ | +++ | +++ | − |
Clostridium difficile | gram (+) | diarrhea + fever | 3 days+ | +++ | ++ | +++ | + | ++ |
Shigella species | gram (-) | diarrhea + fever | 5–7 days | +++ | + | +++ | ? | + |
Escherichia coli (EPEC) | gram (−) | diarrhea | 1–3 weeks | + | − | +++ | +++ | − |
Rotavirus | dsRNA | vomiting + diarrhea + fever | 3–8 days | − | + | ++ | +++ | + |
Norovirus | (+) RNA | vomiting + diarrhea | 1–2 days | + | ++ | +++ | ? | +++ |
Astrovirus | (+) RNA | vomiting + diarrhea + fever | 1–4 days | + | ? | ++ | ? | ++ |
Giardia | protozoan | diarrhea | 2–6 weeks | − | + | +++ | ++ | +++ |
Entamoeba histolytica | protozoan | diarrhea | weeks to months | ++ | ++ | ++ | ? | +++ |
Loss of cells includes shortening of villi.