Recognition, Diagnosis, and Treatment of Enterocolitis Presenting Without Diarrhea: A Literature Review.

Diarrhea, as the well-known clinical feature of infection (CDI), may be absent at the initial presentation, leading to delays in diagnosis. The delay is due to both underrecognition of such presentations and the dependence of CDI diagnosis on stool samples. This review was conducted to evaluate the literature for CDI cases presenting without diarrhea, raise awareness about the possibility of CDI in the differential diagnosis regardless of diarrhea, and assemble relevant data to harmonize clinical approaches.