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Parasitic causes of prolonged diarrhoea in travellers - diagnosis and management.
Aust Fam Physician. 2012 Oct; 41(10):782-6.AF

Abstract

BACKGROUND

Prolonged infectious diarrhoea in the returning traveller is generally caused by protozoal and occasionally by helminth parasites.

OBJECTIVE

This article provides a framework for the diagnosis, management and prevention of the diseases that cause persistent diarrhoea in the traveller.

DISCUSSION

A large proportion of disease is caused by Giardia lamblia, Cryptosporidium parvum and Entamoeba histolytica. However, given the ease of travel with comorbid conditions such as human immunodeficiency virus, there is an expanding list of organisms that can cause persistent diarrhoea. An awareness of the likely aetiological agents and their clinical features enables a more effective diagnosis and management of the patient's condition using an appropriate antiparasitic agent. Prevention strategies need to be initiated before travel and should consist of simple but memorable advice. Noninfectious causes of diarrhoea should be considered as diarrhoea can be a prominent feature of conditions such as hyperthyroidism or coeliac disease.

Authors+Show Affiliations

Department of Internal Medicine, Gold Coast Hospital, Queensland, Australia. at.slack@gmail.com

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

23210100

Citation

Slack, Andrew. "Parasitic Causes of Prolonged Diarrhoea in Travellers - Diagnosis and Management." Australian Family Physician, vol. 41, no. 10, 2012, pp. 782-6.
Slack A. Parasitic causes of prolonged diarrhoea in travellers - diagnosis and management. Aust Fam Physician. 2012;41(10):782-6.
Slack, A. (2012). Parasitic causes of prolonged diarrhoea in travellers - diagnosis and management. Australian Family Physician, 41(10), 782-6.
Slack A. Parasitic Causes of Prolonged Diarrhoea in Travellers - Diagnosis and Management. Aust Fam Physician. 2012;41(10):782-6. PubMed PMID: 23210100.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parasitic causes of prolonged diarrhoea in travellers - diagnosis and management. A1 - Slack,Andrew, PY - 2012/12/5/entrez PY - 2012/12/5/pubmed PY - 2013/12/16/medline SP - 782 EP - 6 JF - Australian family physician JO - Aust Fam Physician VL - 41 IS - 10 N2 - BACKGROUND: Prolonged infectious diarrhoea in the returning traveller is generally caused by protozoal and occasionally by helminth parasites. OBJECTIVE: This article provides a framework for the diagnosis, management and prevention of the diseases that cause persistent diarrhoea in the traveller. DISCUSSION: A large proportion of disease is caused by Giardia lamblia, Cryptosporidium parvum and Entamoeba histolytica. However, given the ease of travel with comorbid conditions such as human immunodeficiency virus, there is an expanding list of organisms that can cause persistent diarrhoea. An awareness of the likely aetiological agents and their clinical features enables a more effective diagnosis and management of the patient's condition using an appropriate antiparasitic agent. Prevention strategies need to be initiated before travel and should consist of simple but memorable advice. Noninfectious causes of diarrhoea should be considered as diarrhoea can be a prominent feature of conditions such as hyperthyroidism or coeliac disease. SN - 0300-8495 UR - https://www.unboundmedicine.com/medline/citation/23210100/Parasitic_causes_of_prolonged_diarrhoea_in_travellers___diagnosis_and_management_ L2 - https://medlineplus.gov/bowelmovement.html DB - PRIME DP - Unbound Medicine ER -