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Tsourdi, E.* ; Heidrich, F.M.* ; Winzer, M.* ; Röllig, C.* ; Kirsch, C.M.* ; Meinel, J.* ; Baretton, G.B.* ; Bornstein, S.R.* ; Hofbauer, L.C.*

An exotic cause of exudative enteropathy.

Am. J. Case Rep. 15, 226-229 (2014)
DOI Verlagsversion bestellen
PATIENT: Male, 50 FINAL DIAGNOSIS: Exudative enteropathy Symptoms: Abdominal pain • diarrhea • fever • hyponatremia • lymphadenopathy • weight loss MEDICATION: - Clinical Procedure: - Specialty: - OBJECTIVE: Unusual clinical course. BACKGROUND: Protein-losing enteropathy is a rare cause of hypoproteinemia. Erosive and non-erosive gastrointestinal diseases as well as vascular disorders that result in increased central venous pressure or mesenteric lymphatic obstruction may result in protein loss via the gastrointestinal tract. CASE REPORT: We present the case of a 50-year-old man with protein-losing enteropathy, who had profuse diarrhea, abdominal pain, lymphadenopathy, fever, and a weight loss of 10 kg in the preceding 2 months. Extensive work-up revealed infection with Giardia lamblia. We review clinical signs and symptoms, laboratory findings, and imaging studies, and discuss potential pitfalls in establishing the diagnosis. CONCLUSIONS: To the best of our knowledge, this represents one of the few published cases of intestinal giardiasis as a cause of protein-losing enteropathy in an immunocompetent adult. The diagnosis of lambliasis should be based on a combination of stool cultures and serum serology, and in cases of high clinical suspicion, an endoscopy and biopsy of the upper GI tract is recommended.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Giardia Lamblia – Pathogenicity ; Protein-losing Enteropathies – Diagnosis ; Protein-losing Enteropathies – Etiology ; Protein-losing Enteropathies – Parasitology ; Protein-losing Enteropathies – Therapy
ISSN (print) / ISBN 1941-5923
Quellenangaben Band: 15, Heft: , Seiten: 226-229 Artikelnummer: , Supplement: ,
Verlag International Scientific Literature
Verlagsort New York, NY
Begutachtungsstatus Peer reviewed
Institut(e) Institute for Pancreatic Beta Cell Research (IPI)