Persistent diarrhea in the returned traveler.

Journal Article (Journal Article;Review)

In conclusion, the causes of chronic diarrhea in the returned traveler are protean. Careful evaluation requires an understanding of where the traveler has been, when they were there, the type of diarrheal illness, medications taken, and knowledge of the patients' other medical problems. Protozoa, particularly G. lamblia, C. parvum, and C. cayatenensis, are among the more commonly identified agents. If the patient is immunocompromised, microsporidia and Isospora become more likely, and a prior history of antimicrobial use raises the possibility of C. difficile colitis. Occasionally helminths, which establish intimate contact with the intestinal mucosa, may also cause prolonged diarrhea. If these and other gastrointestinal insults, such as tropical sprue, small bowel overgrowth, lactose intolerance, and processes unrelated to travel are excluded by more invasive studies or clinical history, the patient can be reassured that idiopathic chronic diarrhea is usually self-limited.

Full Text

Duke Authors

Cited Authors

  • Thielman, NM; Guerrant, RL

Published Date

  • June 1998

Published In

Volume / Issue

  • 12 / 2

Start / End Page

  • 489 - 501

PubMed ID

  • 9658255

Pubmed Central ID

  • 9658255

International Standard Serial Number (ISSN)

  • 0891-5520

Digital Object Identifier (DOI)

  • 10.1016/s0891-5520(05)70015-5

Language

  • eng

Conference Location

  • United States