Name 5 other viral causes of GE
Adenovirus Norovirus Coronavirus Calcivirus Astrovirus
Most common cause of GE in developed countries
Rotavirus
60% of cases < 2 years
What indicates a bacterial cause of GE?
Blood in stool
What bacteria are likely to cause GE? (3)
Campylobacter
Shigella
Salmonella
What systemic and local infections mimic GE?
Systemic infection: Septicaemia and meningitis
Local infections: RTIs, otitis media, Hep A, UTI
What surgical disorders mimic GE?
Pyloric stenosis Intussusception Acute appendicitis Necrotising enterocolitis Hirschsprung disease
Metabolic and renal mimics of GE?
DKA
Haemolytic uraemia syndrome
What is post GE syndrome?
After episode of GE, introduction of normal diet leads to return of watery diarrhoea.
Temporary lactose intolerance may have developed.
Confirmed by presence of non-absorbed sugar in stools.