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Presence of fecal leukocytes 20 or more and RBC
per high power field of stool microscopy suggests invasive diarrhea
(possibly shigellosis). Stool microscopy also reveals parasitic and
helminthic infections. Dark field microscopy is a rapid diagnostic test for
Vibrio. Stool cultures are available for detecting bacteria including Vibrio
cholera, Salmonella, Shigella, and others. Enzyme linked immunosorbent assay
(ELISA) is done to detect rotavirus. Antigen tests are done for different
serotypes of E. coli.
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