1/8. delusions of intestinal parasitosis.delusions of parasitosis, though uncommon, are an important cause of distress for affected patients and frequently of frustration for their physicians. They occur primarily in middle-aged or older women, who have the delusional belief that they are infested with parasites. Although the vast majority of cases involve dermatologic manifestations, some patients may have delusions of intestinal infection, as illustrated by this case.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/8. Infestation of the human intestine by the millipede, Nopoiulus kochii.Specimens of the millipede, Nopoiulus kochii (Gervais) were seen in faeces and vomit of a 14-year-old boy residing in Oltu, Erzurum, turkey. The patient complained of a burning sensation in his throat and stomach-ache. physical examination revealed no pathological findings, and how the patient became infected was unknown. Anti-parasitic drugs (niclosamide, albendazole), which he had been taking intermittently for 2 years by the prescription of a physician, had not resolved the problem.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/8. Intestinal capillariasis in egypt: a case report.capillaria philippinensis eggs, larvae, and adults were identified in the stool of a 41-year-old female physician from Cairo, egypt, who had never traveled abroad. She had eaten local and imported fish. She suffered from borborygmi, abdominal pain, severe diarrhea, vomiting, and loss of weight for greater than 3 months. Treatment with Flubendazole (R17889-Janssen) 200 mg twice daily for 30 days resulted in clinical and parasitological cure.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/8. Intestinal myiasis in a baby attending a public health clinic.This article describes a case of intestinal myiasis--the presence of fly larvae in the intestines--in a 12-month-old baby. The asymptomatic child was twice treated by her physician for a presumptive diagnosis of pinworm infection. The mother continued to see "worms" in the child's stool and brought her to a public health primary care clinic where she was evaluated by nurse practitioners. Larvae (maggots) of the false stable fly, Muscina stabulans, were identified in each of two stool specimens collected on different days. Examination of stool specimens from other family members showed no larvae. The likely source of the child's infection was over-ripened bananas, which were kept in a hanging basket. No pharmacologic treatment was prescribed, but the parents were instructed to cover the fruit and wash it before consumption. nurse practitioners are encouraged to report suspected cases of myiasis and to work with patients, their families and public health personnel in order to confirm the diagnosis, identify the source and make suggestions to prevent further infestation.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/8. cryptosporidiosis in hospital personnel. Evidence for person-to-person transmission.An intern responsible for the care of a patient with chronic cryptosporidiosis developed acute diarrhea and serologic evidence of cryptosporidium infection. Sera from 26 hospital personnel exposed to the patient and 18 personnel with no exposure were examined with an indirect immunofluorescent antibody procedure for the presence of antibodies to cryptosporidium. Eight (31%) exposed personnel--5 nurses, 2 house officers, and 1 student--had positive antibody titers (1:10 or more). The frequency of positivity in the nurse-housestaff-student group (8 of 18, 45%) was significantly greater (p less than 0.05) than that in the attending physicians and respiratory therapists (0 of 8). The former group had significantly more exposure to the patient's feces than did the latter group (p less than 0.01). Three of eighteen control personnel (17%) had positive cryptosporidium antibody titers. These findings suggest that cryptosporidium may be transmitted from person to person in the hospital environment and that serologic evidence of infection is common among hospital personnel.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/8. strongyloides stercoralis.strongyloides stercoralis, a nematode not well known to many Canadian physicians, infects 35% of some tropical populations. Larvae can be isolated from the stools in 25% of cases and from duodenal aspirates in 95%. Treatment is with thiabendazole given twice daily in a dose of 25 mg/kg up to a maximum of 1.5 g/d. Frenquently an individual with a previously asymptomatic infection presents with hyperinfection and death rapidly ensues, but usually classical symptoms are present. Such a case is described. immunosuppression is frequently associated with the hyperinfective state.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/8. Intestinal myiasis.With international travel increasing to more rural areas, physicians must be aware of the accidental ingestion of fly ova from contaminated food, which results in the fecal passage of these nondigestible eggs. The purpose of this report is to review this entity.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/8. Colorectal schistosomiasis: report of three cases.The facility for mass movement of segments of our world populations creates the need for physicians to recognize and manage diseases not seen in native patients. Such a need has occurred in new york city, where schistosomiasis, with its protean manifestations has been seen with increasing frequency. The cases of three patients who had different clinical manifestations of infestation by S. mansoni are presented. Clinical, radiologic, and pathologic features are discussed. To avoid delay in treatment, physicians must consider the possibility of this disorder in cases of patients from areas of endemic schistosomiasis.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |