Diarrhea in the immunocompromised patient

Gastroenterol Clin North Am. 2012 Sep;41(3):677-701. doi: 10.1016/j.gtc.2012.06.009. Epub 2012 Jul 4.

Abstract

Diarrhea is a common problem in patients with immunocompromising conditions. The etiologic spectrum differs from patients with diarrhea who have a normal immune system. This article reviews the most important causes of diarrhea in immunocompromised patients, ranging from infectious causes to noninfectious causes of diarrhea in the setting of HIV infection as a model for other conditions of immunosuppression. It also deals with diarrhea in specific situations, eg, after hematopoietic stem cell or solid organ transplantation, diarrhea induced by immunosuppressive drugs, and diarrhea in congenital immunodeficiency syndromes.

Publication types

  • Review

MeSH terms

  • Anti-Infective Agents / therapeutic use
  • Diarrhea / etiology*
  • Drug-Related Side Effects and Adverse Reactions
  • Enterocolitis, Neutropenic / complications
  • Graft vs Host Disease / complications
  • HIV Enteropathy / complications
  • HIV Infections / complications
  • Histoplasmosis / complications
  • Histoplasmosis / diagnosis
  • Histoplasmosis / drug therapy
  • Humans
  • Immunocompromised Host*
  • Immunologic Deficiency Syndromes / complications
  • Intestinal Diseases, Parasitic / complications
  • Intestinal Diseases, Parasitic / drug therapy
  • Intestines / microbiology
  • Intestines / parasitology
  • Intestines / virology
  • Microsporidiosis / complications
  • Microsporidiosis / diagnosis
  • Microsporidiosis / drug therapy
  • Opportunistic Infections / complications
  • Organ Transplantation / adverse effects
  • Stem Cell Transplantation / adverse effects
  • Virus Diseases / complications
  • Virus Diseases / drug therapy

Substances

  • Anti-Infective Agents