<i>GIARDIA INTESTINALIS</i> INFECTION DIAGNOSED DUE TO ACCUMULATION OF WHITE FLUID IN THE DUODENUM
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- NISHIO Ayano
- Department of Gastroenterology, Kagawa Prefectural Central Hospital.
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- TAKAHASHI Sakuma
- Department of Gastroenterology, Kagawa Prefectural Central Hospital.
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- COLVIN Hugh Shunsuke
- Department of Gastroenterology, Kagawa Prefectural Central Hospital.
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- TANAKA Shigetomi
- Department of Gastroenterology, Kagawa Prefectural Central Hospital.
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- ISHIKAWA Shigenao
- Department of Gastroenterology, Kagawa Prefectural Central Hospital.
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- WATO Masaki
- Department of Gastroenterology, Kagawa Prefectural Central Hospital.
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- ANDO Midori
- Department of Pathology, Kagawa Prefectural Central Hospital.
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- NAKAMURA Satoko
- Department of Pathology, Kagawa Prefectural Central Hospital.
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- TOKORO Masaharu
- Department of Global Infectious Diseases, Graduate School of Medical Sciences, Kanazawa University.
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- INABA Tomoki
- Department of Gastroenterology, Kagawa Prefectural Central Hospital.
Bibliographic Information
- Other Title
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- 乳白色の十二指腸液の貯留が診断の契機となったランブル鞭毛虫症の1例
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Abstract
<p>A 64-year-old man with a complaint of loose stools was found to have accumulation of white fluid in the duodenum at the time of EGD. Duodenal biopsies were performed, and histopathological examination revealed sickle-shaped and pear-shaped bodies on the mucosal surface, suggesting Giardia intestinalis. The patient was diagnosed with assemblage A-type G. intestinalis by microscopic examination and PCR-sequencing of duodenal fluid and stool samples. The patient was treated with metronidazole 750 mg/day for 7 days to deworm. After the treatment, the patientʼs stool returned to normal. One year later, EGD was performed, and white fluid accumulation was not observed in the duodenum. G. intestinalis was not detected by microscopic examination of stool samples, duodenal fluid, and duodenal biopsies; hence, it appeared that deworming was successful. G. intestinalis infection should be considered when white fluid accumulation is observed in the duodenum during EGD.</p>
Journal
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- GASTROENTEROLOGICAL ENDOSCOPY
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GASTROENTEROLOGICAL ENDOSCOPY 66 (2), 157-162, 2024
Japan Gastroenterological Endoscopy Society
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Keywords
Details 詳細情報について
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- CRID
- 1390862157392021248
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- ISSN
- 18845738
- 03871207
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed