Chronic Diarrhea in Travelers

作者：Connor Bradley A^*

来源：Current Infectious Disease Reports, 2013, 15(3): 203-210.

DOI：10.1007/s11908-013-0328-2

• Travelers' diarrhea
• Chronic diarrhea
• Persistent diarrhea
• Bacterial diarrhea
• Clostridium difficile
• Enteric parasitic infection
• Celiac disease
• Inflammatory bowel disease
• Brainerd diarrhea
• Postinfectious irritable bowel syndrome

As a rule, travelers' diarrhea is a self-limited bacterial infection that affects approximately 40 % of travelers to developing countries. Health-care professionals who see returning travelers have noted that some travelers afflicted with diarrhea do not recover completely but, instead, develop chronic diarrhea or a persistent change in gastrointestinal function. Concurrent with this observation has been the recognition that in many patients with long-standing irritable bowel syndrome, an episode of traveler's diarrhea or gastroenteritis preceded the onset of symptoms. Before a diagnosis of postinfectious irritable bowel syndrome is considered, other diagnostic considerations must be excluded. This review will examine an approach to the patient with chronic diarrhea posttravel.

• 出版日期2013-6