What are the causes and symptoms of food poisoning (gastroenteritis)?

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Differential Diagnosis for Food Poisoning

  • Single most likely diagnosis
    • Viral Gastroenteritis: This is the most common cause of food poisoning, often resulting from norovirus or rotavirus infection, and typically presents with symptoms such as diarrhea, vomiting, and abdominal cramps.
  • Other Likely diagnoses
    • Bacterial Food Poisoning (e.g., Salmonella, E. coli, Campylobacter): These bacteria are common causes of food poisoning, often associated with undercooked meat, eggs, or dairy products, and can lead to symptoms like diarrhea, fever, and abdominal pain.
    • Staphylococcal Food Poisoning: Caused by the ingestion of foods contaminated with Staphylococcus aureus toxins, this condition typically presents with rapid onset of vomiting, diarrhea, and abdominal cramps.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Botulism: A rare but potentially life-threatening condition caused by the ingestion of foods contaminated with Clostridium botulinum toxins, which can lead to muscle weakness, paralysis, and respiratory failure.
    • Listeriosis: Caused by Listeria monocytogenes, this infection can be severe in pregnant women, older adults, and immunocompromised individuals, leading to symptoms like fever, headache, and stiff neck.
  • Rare diagnoses
    • Mushroom Poisoning: Ingestion of certain toxic mushrooms can cause a range of symptoms, from gastrointestinal distress to liver and kidney failure, and even death.
    • Scombroid Poisoning: Caused by the ingestion of spoiled fish (e.g., tuna, mackerel), this condition can lead to symptoms like flushing, headache, and abdominal cramps due to high levels of histamine.
    • Ciguatera Fish Poisoning: Ingestion of fish contaminated with ciguatoxins can cause symptoms like nausea, vomiting, and neurological abnormalities, including numbness and tingling.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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