{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T17:41:39Z","timestamp":1773337299877,"version":"3.50.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"782","license":[{"start":{"date-parts":[[1990,12,1]],"date-time":"1990-12-01T00:00:00Z","timestamp":660009600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,12,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Five hundred and ninety-four patients were consecutively admitted to an infectious disease unit over a 2-year period with a referral diagnosis of acute gastroenteritis or food poisoning. In 175 (29%) patients, gastrointestinal symptoms were associated with a condition other than gastrointestinal infection. Non-infective gastrointestinal disease was present in 90 patients, systemic infection in 50 and systemic disease in 35. Four illustrative case histories are presented to emphasize the need for a high index of suspicion if diseases such as malaria, septicaemia or appendicitis are not to be missed.<\/jats:p>","DOI":"10.1136\/pgmj.66.782.1037","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:01:03Z","timestamp":1230584463000},"page":"1037-1039","source":"Crossref","is-referenced-by-count":5,"title":["Acute gastroenteritis: the need to remember alternative diagnoses"],"prefix":"10.1093","volume":"66","author":[{"given":"J M","family":"Felton","sequence":"first","affiliation":[{"name":"Regional Infectious Disease Unit, Fazakerley Hospital , Longmoor Lane, Liverpool L9 7AL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A D","family":"Harries","sequence":"additional","affiliation":[{"name":"Regional Infectious Disease Unit, Fazakerley Hospital , Longmoor Lane, Liverpool L9 7AL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N J","family":"Beeching","sequence":"additional","affiliation":[{"name":"Regional Infectious Disease Unit, Fazakerley Hospital , Longmoor Lane, Liverpool L9 7AL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S J","family":"Rogerson","sequence":"additional","affiliation":[{"name":"Regional Infectious Disease Unit, Fazakerley Hospital , Longmoor Lane, Liverpool L9 7AL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F J","family":"Nye","sequence":"additional","affiliation":[{"name":"Regional Infectious Disease Unit, Fazakerley Hospital , Longmoor Lane, Liverpool L9 7AL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,12,1]]},"reference":[{"issue":"296","key":"ref_1","first-page":"245","article-title":"Malaria in Britain","volume":"1988","author":"Phillips-Howard, P.A.; Bradley, D.J.; Blaze, M.; Hum, K.M.","year":"1977","unstructured":"Phillips-Howard, P.A., Bradley, D.J., Blaze, M. & Hum, K.M. Malaria in Britain: 1977-86. Br Med J 1988, 296: 245-282.","journal-title":"Br Med J"},{"issue":"18","key":"ref_2","first-page":"553","article-title":"A comparison of the clinico-pathological features with stool pathogens in patients hospitalised with the symptoms of diarrhoea","volume":"1986","author":"Watson, B.; Ellis, M.; Mandal, B.; Dunbar, E.; Whale, K.; Brennand, J.","unstructured":"Watson, B., Ellis, M., Mandal, B., Dunbar, E., Whale, K. & Brennand, J. A comparison of the clinico-pathological features with stool pathogens in patients hospitalised with the symptoms of diarrhoea. Scand J Infect Dis 1986, 18: 553-559.","journal-title":"Scand J Infect Dis"},{"issue":"257","key":"ref_3","first-page":"1897","article-title":"Severe diarrhoea in pneumococcal bacteraemia","volume":"1987","author":"Guerin, J.; Meyer, P.; Habib, Y.","unstructured":"Guerin, J., Meyer, P. & Habib, Y. Severe diarrhoea in pneumococcal bacteraemia. JAMA 1987, 257: 1897-1898.","journal-title":"JAMA"},{"issue":"110","key":"ref_4","first-page":"856","article-title":"Gram negative bacteraemia","volume":"1962","author":"McCabe, W.R.; Jackson, G.G.","unstructured":"McCabe, W.R. & Jackson, G.G. Gram negative bacteraemia. Arch Int Med 1962, 110: 856-864.","journal-title":"Arch Int Med"},{"issue":"1","key":"ref_5","first-page":"548","article-title":"Atypical infections and legionella","volume":"1988","author":"Woodhead, M.","unstructured":"Woodhead, M. Atypical infections and legionella. Curr Opin Infect Dis 1988, 1: 548-554.","journal-title":"Curr Opin Infect Dis"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1080\/00034983.1989.11812329","article-title":"Malaria: the principal cause in Europeans for acute medical admission to a general hospital, Malawi","volume":"83","author":"Harries, A.D.","year":"1989","unstructured":"Harries, A.D. Malaria: the principal cause in Europeans for acute medical admission to a general hospital, Malawi. Ann Trop Med Parasitol 1989, 83: 187-189.","journal-title":"Ann Trop Med Parasitol"},{"issue":"82","key":"ref_7","first-page":"511","article-title":"Symptoms and response to chemotherapy in adult Malawians admitted to hospital with Plasmodium.flciparum malaria","volume":"1988","author":"Harries, A.D.; Speare, R.; Wirima, J.J.","unstructured":"Harries, A.D., Speare, R. & Wirima, J.J. Symptoms and response to chemotherapy in adult Malawians admitted to hospital with Plasmodium.flciparum malaria. Ann Trop Med Parasitol 1988, 82: 511-512.","journal-title":"Ann Trop Med Parasitol"},{"issue":"234","key":"ref_8","first-page":"470","article-title":"Shock and tissue injury induced by recombinant human cachectin","volume":"1986","author":"Tracey, K.J.; Beutler, B.; Lowry, S.F.","unstructured":"Tracey, K.J., Beutler, B., Lowry, S.F. et al. Shock and tissue injury induced by recombinant human cachectin. Science 1986, 234: 470-474.","journal-title":"Science"},{"issue":"257","key":"ref_9","first-page":"1898","article-title":"Severe diarrhoea in pneumococcal bacteraemia","volume":"1987","author":"Fernandez-Guerrero, M.L.; Renedo, G.","unstructured":"Fernandez-Guerrero, M.L. & Renedo, G. Severe diarrhoea in pneumococcal bacteraemia. JAMA 1987, 257: 1898.","journal-title":"JAMA"},{"key":"ref_10","first-page":"947","article-title":"Adrenocortical insufficiency. Clin Endocrinol Metab","volume":"14","author":"Burke, C.W.","year":"1985","unstructured":"Burke, C.W. Adrenocortical insufficiency. Clin Endocrinol Metab 1985, 14: 947-976."}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/66\/782\/1037\/50077548\/postgradmedj-66-1037.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/66\/782\/1037\/50077548\/postgradmedj-66-1037.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T16:55:12Z","timestamp":1682614512000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/66\/782\/1037\/7061502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,12,1]]},"references-count":10,"journal-issue":{"issue":"782","published-online":{"date-parts":[[1990,12,1]]},"published-print":{"date-parts":[[1990,12,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.66.782.1037","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1990,12]]},"published":{"date-parts":[[1990,12,1]]}}}