Persistent diarrhea, arthritis, and other complications of enteric infections: a pilot survey based on California FoodNet surveillance, 1998-1999

Clin Infect Dis. 2004 Apr 15;38 Suppl 3:S311-7. doi: 10.1086/381601.

Abstract

Numerous complications of enteric infections have been described, including persistent diarrhea, reactive arthritis, and Guillain-Barre syndrome. We determined the frequency of self-reported complications of enteric infections in a pilot study in the California site of the Foodborne Diseases Active Surveillance Network. From 1 April 1998 through 31 March 1999, active surveillance identified 1454 infections in Alameda and San Francisco counties, of which 52% were Campylobacter infections, 22% were Salmonella infections, 15% were Shigella infections, 6% were Cryptosporidium infections, 2% were Escherichia coli O157:H7 infections, 2% were Yersinia infections, and 1% were Vibrio infections. We mailed surveys to 1331 eligible participants, and 571 (43%) were returned. A new health problem following infection was reported by 153 (27%) of the respondents: 12 (8%) reported new onset of joint pain and 53 (35%) reported new gastrointestinal symptoms, of whom 38 reported persistent diarrhea, including 2 who reported irritable bowel syndrome. Three respondents reported hair loss. The frequency, nature, and etiology of these complications merit further investigation.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Arthritis / etiology*
  • Arthritis / microbiology
  • California / epidemiology
  • Campylobacter Infections / complications
  • Campylobacter Infections / epidemiology
  • Diarrhea / etiology*
  • Diarrhea / microbiology
  • Enteritis / complications*
  • Enteritis / epidemiology
  • Enteritis / microbiology
  • Escherichia coli Infections / complications
  • Escherichia coli Infections / epidemiology
  • Female
  • Humans
  • Information Services
  • Male
  • Middle Aged
  • Pilot Projects
  • Population Surveillance
  • Salmonella Infections / complications
  • Salmonella Infections / epidemiology
  • Shigella