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MCQs in Tropical Medicine

Rob Skelly DTM+H FRCP

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Travellers' diarrhoea

F F T T T

Table 48

Causes of travellers' diarrhoea
enterotoxigenic E.coli (c.40% of cases)
Shigella
enteroinvasive E.coli
Campylobacter jejuni
Salmonella
Plesiomonas
Aeromonas
protozoa
viruses
no pathogen found (20% of cases)

The diarrhoea usually begins in the first few days. Antibiotics such as ciprofloxacin, especially if started early, reduce the duration of diarrhoea and have a good safety profile in adults. Non-gastrointestinal pathogens such as Plasmodium falciparum can also cause diarrhoea.

 
Copyright: Rob Skelly 2006