Noninflammatory diarrheaInflammatory diarrhea
EtiologyInfectious: often viral, but may be bacterial and, less likely, parasitic
Noninfectious: dietary, psychosocial stressors
Infectious: frequently invasive or toxin-producing bacteria
Noninfectious: Crohn disease, ulcerative colitis, radiation enteritis
History and examinationInfectious: nausea, vomiting, abdominal discomfort
Noninfectious: nausea, abdominal discomfort, frequently without vomiting
Infectious: fever, abdominal pain, tenesmus, systemic signs and symptoms
Noninfectious: abdominal pain, tenesmus, fatigue, weight loss
Laboratory findingsInfectious: often not performed; positive PCR or NAAT result
Noninfectious: negative PCR or NAAT result, positive specific laboratory testing (e.g., antitissue transglutaminase antibody)
Infectious: positive PCR or NAAT result
Noninfectious: negative PCR or NAAT result; positive for fecal calprotectin*
Common infectious pathogensBacterial: enterotoxigenic Escherichia coli, Clostridium perfrin-gens, Bacillus cereus, Staphylococcus aureus, Vibrio cholerae
Viral: Rotavirus, Norovirus
Parasitic: Giardia, Cryptosporidium
Bacterial: Salmonella, Shigella, Campylobacter, Shiga toxin–producing E. coli, entero-invasive E. coli, Clostridioides difficile, Yersinia
Parasitic: Entamoeba histolytica