Document Detail


Surprising finding on colonoscopy.
MedLine Citation:
PMID:  20141726     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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?
Authors:
Nicole Griglione; Jahnavi Naik; Jennifer Christie
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of family practice     Volume:  59     ISSN:  1533-7294     ISO Abbreviation:  J Fam Pract     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-09     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7502590     Medline TA:  J Fam Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  115-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA, USA. ngrigli@emory.edu
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MeSH Terms
Descriptor/Qualifier:
Antinematodal Agents / therapeutic use
Colonoscopy*
Diagnosis, Differential
Enterobiasis / diagnosis*,  drug therapy
Gastrointestinal Hemorrhage / parasitology
Humans
Male
Mebendazole / therapeutic use
Middle Aged
Rectum
Chemical
Reg. No./Substance:
0/Antinematodal Agents; 31431-39-7/Mebendazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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