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Re: ID/Tropical Medicine question (long) From: Meenan, Anna (annam@uic.edu) Sat Nov 3 08:29:05 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gerald P.Rodriguez: "Re: ID/Tropical Medicine question (long)" Previous message: Efrain Ramirez: "Re: Gyn: Fibroids/ovarian abnormality" In reply to: Henry Gregor: "ID/Tropical Medicine question (long)" Next in thread: Henry Gregor: "Re: ID/Tropical Medicine question (long)" Reply: Henry Gregor: "Re: ID/Tropical Medicine question (long)" I'd be inclined to watch and wait another week or so if things are improving, or at most consider repeating the stool for C&S, O&P, but this would be a great question to post on Sermo, where there are many more ID people than here on OB-gyn.net. Not registered on Sermo? Now would be a great time to register. They are giving a $15 gift certificate to Amazon.com if you register. Anyone who wants to register, let me know and I will send you the e-mail link (still 2 referrals away from earning my free iPod). Anna Meenan, MD >Listers > >College student worked in Bengladesh, returned to US and worked >several weeks in western North Carolina woods as a river guide and >backpacking guide, developed profuse nonbloody loose stools. No >family hx of IBD. > >Rx'd for Giardia.n whether this was diagnosed or presumptive dx) >w/metronidazole x 7 days. Sx's persisted w/o significant change. >Patient returned to original providor, having had 10 lb weight loss, >no fevers/chills/rashes/anorexia. Mild to Moderate GI cramps. Stool >test positive for Endolimax nana. (Which references tell me is >usually non-pathogenic and not generally treated, thought it can >cause diarrhea. It can also "be confused" with Entamoeba histolytica >- apologies for spellling.) > >Pt still sx'c, but decreasing number and volume of stools, seven >days after treatment with praziquantel, an antihelminthic which I >suspect was given presumtively for the possibility of undocumented >helminthic infection. > >Before further stool testing/ID consult/ GI endo studies would >another round of treatment with metr'azole or tinidazole be >reasonable. Would "watch and wait" for another interval of seven >days be reasonable? > >I know this is off topic and I know Google and Google Scholar and >PubMed are our friends, (and I've been on them during a long stand >by in L&D tonite), but what could any of you comment re the >situation...com'on El, and others,lets hear your thoughts please. It >would be helpful for the student to avoid further time in medical >waiting rooms and labs, which would take away from a critical time >in the school semsester/exam schedule, though of course that can be >done in the interest of health first. > >Thanks, > >Hank > >Tired of spam? Yahoo! Mail has the best spam protection around Next message: Gerald P.Rodriguez: "Re: ID/Tropical Medicine question (long)" Previous message: Efrain Ramirez: "Re: Gyn: Fibroids/ovarian abnormality" In reply to: Henry Gregor: "ID/Tropical Medicine question (long)" Next in thread: Henry Gregor: "Re: ID/Tropical Medicine question (long)" Reply: Henry Gregor: "Re: ID/Tropical Medicine question (long)"

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