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Case Reports
. 1990 Dec;66(782):1037-9.
doi: 10.1136/pgmj.66.782.1037.

Acute gastroenteritis: the need to remember alternative diagnoses

J M Felton  1 , A D Harries, N J Beeching, S J Rogerson, F J Nye
Affiliations
Case Reports

Acute gastroenteritis: the need to remember alternative diagnoses

J M Felton et al. Postgrad Med J. 1990 Dec.

Abstract

Five hundred and ninety-four patients were consecutively admitted to an infectious disease unit over a 2-year period with a referral diagnosis of acute gastroenteritis or food poisoning. In 175 (29%) patients, gastrointestinal symptoms were associated with a condition other than gastrointestinal infection. Non-infective gastrointestinal disease was present in 90 patients, systemic infection in 50 and systemic disease in 35. Four illustrative case histories are presented to emphasize the need for a high index of suspicion if diseases such as malaria, septicaemia or appendicitis are not to be missed.

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