Journal Article

Persistent Diarrhea, Arthritis, and Other Complications of Enteric Infections: A Pilot Survey Based on California FoodNet Surveillance, 1998–1999

Judy R. Rees, Mary Ann Pannier, Alexander McNees, Sue Shallow, Frederick J. Angulo and Duc J. Vugia

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 38, issue Supplement_3, pages S311-S317
Published in print April 2004 | ISSN: 1058-4838
Published online April 2004 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/381601
Persistent Diarrhea, Arthritis, and Other Complications of Enteric Infections: A Pilot Survey Based on California FoodNet Surveillance, 1998–1999

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Numerous complications of enteric infections have been described, including persistent diarrhea, reactive arthritis, and Guillain-Barré 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.

Journal Article.  2733 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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