A diarreia crônica é definida como a presença de ≥3 evacuações diarreicas por dia, por mais de 4 semanas. Embora o peso fecal seja usado em estudos. CASO CLÍNICO: DIARRÉIA CRÔNICA Suporte nutricional. Mantido Imipenem e associado vancomicina até resultado de culturas. FERREIRA, Sheila et al. Chronic diarrhea. ., 19, 3, pp ISSN We report a case of a year old woman with chronic diarrhoea for the.
|Published (Last):||24 April 2008|
|PDF File Size:||2.39 Mb|
|ePub File Size:||20.53 Mb|
|Price:||Free* [*Free Regsitration Required]|
This case intends to alert clinicians for the possibility of this event in a patient on treatment with this drug.
Olmesartan-Induced Enteropathy: An Unusual Cause of Villous Atrophy.
What can be said is that the study and treatment of diarrela with chronic diarrhea are not an easy task, often depending on monitoring of several steps. It presents with chronic diarrhea and intestinal villous atrophy and should be included in its differential diagnosis. Of these latter patients, 3 were using oral contraceptives, 3 were on hypertensives losartan and propranolol2 were on omeprazole, 1 was in use of levothyroxine, and 1 was a multivitamin user.
Diagnosis of giardiasis in infants and children by endoscopic brush cytology. Immediate hypersensitivity in colon of children with chronic Trichuris trichiura dysentery.
Investigation showed multiple nutritional deficiencies associated with diffuse intestinal villous atrophy. Follow-up at three months showed clinical remission and almost complete recovery of intestinal atrophy.
BMJ Best Practice
Rua dos Coelhos, Evidence of protein-losing enteropathy in strongyloidiasis. In analyzing the histopathology of the cases, we found that there is no uniform pattern for reporting both positive data and the presence of inflammatory cell infiltrate or cryptal damage, nor for negative data, for instance, the presence of granulomas, fibrosis, micro-organisms, abscesses, malignancy, specificity, parasites, etc.
Serologies for celiac disease were negative and other causes of villous atrophy were excluded. Olmesartan is an angiotensin receptor blocker commonly prescribed for the management of hypertension. Olmesartan as a precipitant agent was suspected and withdrawn.
Sign up for a FREE trial. Waterbone giardiasis at a mountain resort: Laboratory methods for diagnosing cryptosporidiosis. If you have a Best Practice personal account, your own subscription or have registered for a free trial, log in here:. Your feedback has been submitted successfully. Please enter a valid username and password and try again.
But often this diagnosis can be very complex and comprehensive, as it may reflect cronlca infectious, endocrine-metabolic, neoplastic, functional and drug-derived ethiologies. Suspeitou-se do olmesartan como agente precipitante, sendo este suspenso. Rev Infect Dis ; 8: Evaluation of specific serum anti-Giardia IgM antibody response in diagnosis of giardiasis.
Evaluation dkarreia a new monoclonal antibody combination reagent for direct fluorescence detection of Giardia cysts and Cryptosporidium cysts in human fecal specimens. For any urgent enquiries please contact our customer services team who are ready to help with any problems.
Detection of Giardia antigen in stool samples by a semi-quantitative enzyme imunoassay EIA test. Register with an access code If you have been provided an access code, you can register it here: We will respond to all feedback. If your hospital, university, trust or other institution provides access to Best Practice, log in via the appropriate link below: Clin Infect Dis ; 16 Suppl 2: Intrinsec intestinal propulsion in the Guinea pig during parasitis with Trichinella spiralis.
We report a case of a year-old-man presenting with chronic diarrhea and weight loss while on olmesartan treatment for hypertension. However, in some patients with chronic diarrhea, a colonoscopy may show normal mucosa; in these cases, serial biopsies can provide important information for the diagnosis and treatment of patients.
Spruelike enteropathy associated with this drug is a recently described entity with few cases reported. The entered sign-in details are incorrect.
Take a look at our subscription options. Parallel to the discussion on the need, or not, for routine biopsies in patients with diarrhea with normal colonoscopy, lies the debate on the need, or not, to examine and biopsy the terminal ileum. Introduction Chronic diarrhea is a common disorder, characterized by a course longer than 30 days; on the other hand, it brings discomfort — not only physical but also social — to the patient.
A subscription is required to access all the content in Best Practice. Regarding timeline croniica symptoms, dlarreia patients Services on Demand Journal.
Choose one of the access methods below or take a look at our subscribe or free trial options. Initial upper endoscopy showing a discrete attenuation of villous pattern of the second portion of the duodenum.
GE Port J Gastroenterol. Clinical improvement occurred in days with no need for other therapeutic measures.
Histopathology and cytopathology of limited or no clinical value. Follow-up at three months diarrreia clinical remission and almost complete recovery of intestinal atrophy. Mechanism of malabsorption in giardiasis: If your hospital, university, trust or other institution provides access to Best Practice, log in via the appropriate link below:.
I have some feedback on: Enteritis due cronicca Strongiloides stercoralis. J Clin Pathol ; Scand J Infect Dis ; Olmesartan-induced enteropathy is a new clinical entity that must be djarreia in the differential diagnosis of diarrdia atrophy with negative celiac serology.