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Symptoms of enteropathogenic escherichiosis
Last reviewed: 23.04.2024
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The incubation period of enteropathogenic escherichiosis is about 5-8 days. In newborns and weakened children, as well as with massive infection, it can be shortened to 1-2 days.
Enteropathogenic escherichiosis can begin as acute (with massive invasion and the food pathway of infection), and gradually, with the phenomena of enteritis (most often with a contact-household way of infection). Stools usually watery, yellow or orange, with a small amount of transparent mucus, abundant, mixed with water ("liquid gruel"), sometimes splashing, wet the entire diaper. On the diaper after soaking the water, the stool often seems normal, the mucus disappears. Exercises can be mushy, foamy, with a small amount of greenery.
The most constant symptom of enteropathogenic escherichiosis is vomiting 1 -2 times a day or persistent regurgitation. Which appear from the first day of illness. All clinical symptoms usually increase gradually and are maximum expressed on the 5th-7th day of the disease - the condition worsens, adynamia increases, the appetite decreases right down to anorexia. Increases the frequency of regurgitation (or vomiting). Body temperature rests on subfebrile (or febrile) digits up to 1-2 weeks or more, stools become more frequent 10-15 times a day or more, symptoms of dehydration increase. Toxicosis with exsicosis develops in most children, often reaching grade II-III (with a deficit of body weight of more than 10%), most often soled deficient. These children have subnormal body temperature, cold extremities, acrocyanosis. Toxic respiration, tachycardia and deafness of cardiac tones, often stupor or loss of consciousness, cramps. The mucous membranes are dry, bright, the skin fold is not straightened, the great fontanel sinks. Possible acute renal, adrenal insufficiency, DIC-syndrome and infectious-toxic shock.
When the external examination is characterized by bloating (flatulence), rumbling in the course of the small intestine, paleness of the skin. The liver and spleen increase only with severe, toxic-septic forms of the disease or with the development of sepsis. The anus will be closed, the skin around the anus and on the buttocks is irritated up to maceration. The severity of symptoms of intoxication, exsicosis and diarrhea syndrome varies considerably from the easiest to the most severe, leading to death.
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