Motile gram negative aerobic or facultative anaerobic rods. Acute superficial inflammation of large and small bowel. Secretory diarrhoea due to enteropathy with electrolyte and water transport defects. Incubation period usually 12-36 hours. 

No prodrome, 48hrs vomiting and diarrhoea, abdominal cramps occur intermittently, symptoms usually resolve after 2 weeks.

Medical: Rehydration, antibiotics for severe or invasive disease, or in 

immunocompromised

 

Excellent, vascular complications carry high mortality.  

Persistent faecal carriage (~1%), bacteraemia, vascular infections, reactive arthritis.