RT Journal Article
SR Electronic
T1 Gastrointestinal symptoms in travellers
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 93
OP 95
DO 10.7861/clinmedicine.15-1-93
VO 15
IS 1
A1 Alastair C McGregor
A1 Stephen G Wright
YR 2015
UL http://www.rcpjournals.org/content/15/1/93.abstract
AB Diarrhoea is probably the single most common medical complaint in returning travellers. The most common pathogens are entero-toxigenic Escherichia coli, Shigella, Salmonella and Campylobacter. Viruses, toxigenic Arcobacter and Bacteroides fragilis, as well as parasites such as Cryptosporidium sp, are increasingly recognised but are not tested for in most diagnostic laboratories. Blood in stools is a sign of invasive disease and should trigger exclusion of invasive amoebic disease. The use of empiric antibiotics may shorten illness but is complicated by the diversity of bacterial causes and emerging resistance.