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Bacterial Overgrowth in a Patient with Chronic Diarrhea

 

作者: ANN MAHANEY-PRICE,   CHERYL STEGBAUER,  

 

期刊: The Nurse Practitioner  (OVID Available online 1995)
卷期: Volume 20, issue 9  

页码: 60-63

 

ISSN:0361-1817

 

年代: 1995

 

出版商: OVID

 

数据来源: OVID

 

摘要:

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-xy-lose 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.

 

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