Microbiology of Diarrhea and Food Poisoning

Bugs Causing Diarrhea and Food Poisoning

BugTransmissionComments
Staphylococcus aureusCustards, mayonnaise/potato salad, canned meatsSymptoms start and end quickly
Bacillus cereusReheated rice, food kept warm but not hotSymptoms start and end quickly
Clostridium botulinumCanned food, home-canned alkaline vegetables
Clostridum perfringensReheated meatWatery diarrhea
Clostridium difficileEndogenous, nosocomial
NOTE: not food poisoning
Watery diarrhea
E. coli (EHEC – no invasion, no WBCs; EIEC – invasion + WBCs)Undercooked meat, contaminated food, fecal-oralBloody diarrhea
E. coli (ETEC)  Undercooked meat, contaminated food, fecal-oralWatery diarrhea
Legionella pneumophilacontaminated water (especially in smokers)Pneumonia, fever, diarrhea, hyponatremia
Salmonella enteridisChicken products (eggs, raw chicken)Diarrhea may be bloody
Shigella dysenteriaeFecal-oralBloody diarrhea
Campylobacter jejuniPoultry, unpasteurized milk, fecal-oralBloody diarrhea with pus
Vibrio choleraeFecal-oralWatery diarrhea (“rice water stools”)
Vibrio parahaemolyticus/vulnificusSeafood, sushi (leading cause of diarrhea in Japan)
Yersinia enterocoliticaContaminated milk, pork, pet fecesBloody diarrhea
BrucellaUnpasteurized dairy products
AdenovirusFecal-oralWatery diarrhea
Pediatric
Norwalk virusFecal-oralWatery diarrhea
Pediatric
ReovirusFecal-oral
RotavirusFecal-oralWatery diarrhea
Infant mortality
Giardia lambliaFecal-oralWatery diarrhea
Associated with campers/hikers
Entamoeba histolyticaFecal-oralBloody or watery diarrhea
CryptosporidiumFecal-oralWatery diarrhea 
Diarrhea in AIDS
Taenia soliumPorkIntestinal tapeworm, neurocysticercosis
Taenia saginataBeefIntestinal tapeworm
Diphyllobothrium latumFishIntestinal tapeworm