| Surprising finding on colonoscopy. | |
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MedLine Citation:
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PMID: 20141726 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 48-year-old man went to his primary care physician for his annual physical. He told his physician that for the past few years, he had intermittent, painless rectal bleeding consisting of small amounts of blood on the toilet paper after defecation. He also mentioned that he often spontaneously awoke, very early in the morning. His past medical history was unremarkable. The patient was born in Cuba but had lived in the United States for more than 30 years. He was divorced, lived alone, and had no children. He had traveled to Latin America-including Mexico, Brazil, and Cuba-off and on over the past 10 years. His last trip was approximately 2 years ago. His physical exam was unremarkable. Rectal examination revealed no masses or external hemorrhoids; stool was brown and Hemoccult negative. Labs were remarkable for eosinophilia ranging from 10% to 24% over the past several years (the white blood cell count ranged from 5200 to 5900/mcL). A subsequent colonoscopy revealed many white, thin, motile organisms dispersed throughout the colon. The organisms were most densely populated in the cecum. Of note, the patient also had nonbleeding internal hemorrhoids. An aspiration of the organisms was obtained and sent to the microbiology lab for further evaluation. What is your diagnosis? How would you manage this condition? |
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Authors:
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Nicole Griglione; Jahnavi Naik; Jennifer Christie |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of family practice Volume: 59 ISSN: 1533-7294 ISO Abbreviation: J Fam Pract Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-09 Completed Date: 2010-05-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7502590 Medline TA: J Fam Pract Country: United States |
Other Details:
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Languages: eng Pagination: 115-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA, USA. ngrigli@emory.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Antinematodal Agents
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therapeutic use Colonoscopy* Diagnosis, Differential Enterobiasis / diagnosis*, drug therapy Gastrointestinal Hemorrhage / parasitology Humans Male Mebendazole / therapeutic use Middle Aged Rectum |
| Chemical | |
Reg. No./Substance:
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0/Antinematodal Agents; 31431-39-7/Mebendazole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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