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Complications

By Mayo Clinic staff

The most common serious complication of food poisoning is dehydration — a severe loss of water and essential salts and minerals. If you're a healthy adult and drink enough to replace fluids you lose from vomiting and diarrhea, dehydration shouldn't be a problem. But infants, older adults and people with suppressed immune systems or chronic illnesses may become severely dehydrated when they lose more fluids than they can replace. In that case, they may need to be hospitalized and receive intravenous fluids. In extreme cases dehydration can be fatal.

Certain types of food poisoning have potentially serious complications for certain people. These include:

  • Listeria monocytogenes. Complications of a listeria food poisoning may be most severe for an unborn baby. Early in pregnancy, a listeria infection may lead to miscarriage. Later in pregnancy, a listeria infection may lead to stillbirth, premature birth or a potentially fatal infection in the baby after birth — even if the mother was only mildly ill. Infants who survive a listeria infection may experience long-term neurological damage and delayed development.
  • Escherichia coli (E. coli). Certain E. coli strains can cause a serious complication called hemolytic uremic syndrome. This syndrome damages the lining of the tiny blood vessels in the kidneys, sometimes leading to kidney failure. Older adults, children under the age of 5 and people with weakened immune systems have a higher risk of developing this complication. If you're at high risk of hemolytic uremic syndrome, see your doctor at the first sign of profuse or bloody diarrhea. If you're not at risk, seek medical advice if your symptoms are severe or persistent. You should have your stool checked for E. coli O157:H7 bacteria.
References
  1. Diagnosis and management of foodborne illnesses: A primer for physicians and other health care professionals. Rockville, Md.: Agency for Healthcare Research and Quality. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=5266&nbr=3593. Accessed April 20, 2009.
  2. Bacteria and foodborne illness. National Digestive Diseases Information Clearinghouse (NDDIC). http://www.digestive.niddk.nih.gov/ddiseases/pubs/bacteria/index.htm. Accessed April 20, 2009.
  3. Foodborne illness. Centers for Disease Control and Prevention. http://www.cdc.gov/ncidod/dbmd/diseaseinfo/foodborneinfections_g.htm. Accessed April 20, 2009.
  4. Basics for handling food safely. United States Department of Agriculture Food Safety and Inspection Service. http://www.fsis.usda.gov/PDF/Basics_for_Safe_Food_Handling.pdf. Accessed April 20, 2009.
  5. Centers for Disease Control and Prevention, et al. Diagnosis and management of foodborne illnesses: A primer for physicians and other health care professionals. MMWR Recommendations and Reports. 2004;53:1. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5304a1.htm. Accessed April 20, 2009.
  6. Avoid foodborne illness: Fight BAC! American Medical Association. http://www.ama-assn.org/ama/upload/mm/36/foodborne_patient.pdf. Accessed April 20, 2009.
  7. Listeriosis. Centers for Disease Control and Prevention Division of Foodborne, Bacterial and Mycotic Diseases. http://www.cdc.gov/nczved/dfbmd/disease_listing/listeriosis_gi.html. Accessed April 20, 2009.
  8. Conlon CP. Food-borne and water-borne infections. In: Cohen J, et al. Infectious Diseases. 2nd ed. New York, N.Y.: Mosby; 2004. http://www.mdconsult.com/das/book/body/132803244-4/0/1209/288.html?tocnode=49354199&fromURL=288.html#4-u1.0-B0-323-02407-6..50095-7_3004. Accessed April 21, 2009.

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June 16, 2009

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