01621nam a2200265 4500 ESSALUD 20260804164633.0 ta t pe ||||| |||| 00| 0 spa d BMG eng Ahonkhai, Aima A. Autor 53772 Case 20-2026: A 38-year-old man with abdominal pain páginas: 291-300 A 38-year-old man was evaluated at an outpatient clinic of this hospital because of abdominal pain. The patient had been in his usual state of good health until 6 weeks before the current presentation, when watery diarrhea (up to 20 episodes per day), accompanied by fever, chills, nausea, and vomiting, developed during a 3-week trip to rural Madagascar for work. Episodes of diarrhea started approximately 1 week after he arrived in Madagascar and lasted for 3 days, during which time he had limited food intake. The symptoms then gradually resolved, and he reported feeling well for 3 days afterward; however, the diarrhea then recurred. He received a single oral dose of levofloxacin, and the diarrhea resolved after 2 days. He returned to Massachusetts and then took a brief trip to Texas. ALERGIA 7055 ENFERMEDADES INFECCIOSAS 6776 MEDICINA CLÍNICA 33681 GASTROENTEROLOGÍA 12562 SALUD PÚBLICA 1652 Heller, Howard M. 53773 Schrader, Sarah M. 53774 22717 22636 Massachusetts NEJM Group NEJM003 The New England Journal of Medicine ESSALUD 0028-4793 ARTICULOS 2026-07-31 SQB 22743 22743