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M9630320.TXT
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1996-02-27
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Document 0320
DOCN M9630320
TI Bacterial overgrowth in a patient with chronic diarrhea.
DT 9603
AU Mahaney-Price AF; Shands Hospital, Gainesville, Fla., USA.
SO Nurse Pract. 1995 Sep;20(9):60-3. Unique Identifier : AIDSLINE
MED/96059997
AB A case study is presented of a 47-year old, white female with a 1-year
progressive history of diarrhea up to 20 liquid stools per day,
accompanied by an 18-pound weight loss. She had presented with previous
workup of gastroscopy revealing two stomach ulcers; colonoscopy
revealing nonspecific colitis and one polyp that was subsequently
removed and found to be benign; and a negative abdominal ultrasound. She
was Helicobacter pylori negative and HIV negative. Her stools had been
negative for blood, ova and parasites, and culture. She had been using
well water from a new well for 2 years. String test was negative for
Giardia. She had no diarrhea during a day of fasting. Carbon 14 D-xylose
breath test was positive. She was discharged on a 14-day course of 500
mg. Augmentin (amoxicillin 500 mg. with clavulanate potassium 125 mg.)
by mouth every 8 hours. Seven weeks later, she was having four to five
formed stools per day and had gained 16 pounds.
DE Bacterial Infections/COMPLICATIONS/*DIAGNOSIS Breath Tests Carbon
Radioisotopes/DIAGNOSTIC USE Case Report Chronic Disease Diagnosis,
Differential Diarrhea/*MICROBIOLOGY Female Human Intestinal
Diseases/COMPLICATIONS/*DIAGNOSIS Middle Age Xylose/DIAGNOSTIC USE
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).