Table 2.
Clinical Presentations and Likely Causes of Acute Diarrheal Disease in Outpatientslegend
| Clinical Type | Approximate Percentage of Patients | Likely Cause |
|
|---|---|---|---|
| Industrialized Countries | Less-developed Countries | ||
| Watery diarrhea | 90 | Rotavirus, other viruses | Rotavirus, Enterotoxigenic Escherichia coli, Enteropathogenic E. coli, Campylobacter jejuni |
| Dysentery | 5 to 10 | Shigella, Enteroinvasive E. coli, Campylobacter jejuni | Shigella, Enteroinvasive E. coli, Campylobacter jejuni, Entamoeba histolytica |
| Protracted diarrhea (>14 days) | 3 to 4 | Enteropathogenic E. coli, Giardia, Yersinia | Enteropathogenic E. coli, Giardia |
| Severe purging with rice-water stool | 1 (higher in cholera-endemic areas) | Salmonella, Enterotoxigenic E. coli | Vibrio cholerae, Enterotoxigenic E. coli |
| Hemorrhagic colitis | <1? | Enterohemorrhagic E. coli | Enterohemorrhagic E. coli |
Modified from (6).