It s not the younger children less than five, but more of the older kids between 5-15 years of age. It may Then we will turn to enterohemorrhagic E. coli and this is differentiated from enterotoxicogenic E. coli causing travelers diarrhea. There are other serotypes as well, other serotypes of enterohemorrhagic E. coli. The most common would be clindamycin as well as the most commonly used antibiotics, which would include ampicillin, amoxicillin as well as the cephalosporins. This causes amebic dysentery.
Fever is rare with amebic dysentery or it s usually low grade.
Dehydration is uncommon. It may result in lower quadrant tenderness and it may mimic inflammatory bowel disease. So if you are presented with case of acute gastroenteritis and daycare is a risk factor, then you should think of Shigella, Campylobacter, Giardia, Cryptosporidium and Rotavirus, all of which have been associated with daycare outbreaks. If you are told that your subject ate chicken recently, then you should start thinking about If travel is part of the history, then think of enterotoxicogenic E. coli, the most common cause of travelers diarrhea, or think of Salmonella typhi, Shigella, cholera, Giardia, Cryptosporidium and Entamoeba histolytica all have increased frequency in travelers. In terms of season, if that s part of the clue, if it s in the fall or winter the main culprits to think about are Rotavirus and Norwalk agent.