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  <titleInfo>
    <title>Case 20-2026: A 38-year-old man with abdominal pain</title>
  </titleInfo>
  <name type="personal">
    <namePart>Ahonkhai, Aima A.</namePart>
    <role>
      <roleTerm authority="marcrelator" type="text">creator</roleTerm>
    </role>
    <role>
      <roleTerm type="text">Autor</roleTerm>
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  </name>
  <name type="personal">
    <namePart>Heller, Howard M.</namePart>
  </name>
  <name type="personal">
    <namePart>Schrader, Sarah M.</namePart>
  </name>
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    <place>
      <placeTerm type="code" authority="marccountry">pe</placeTerm>
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    <issuance>monographic</issuance>
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  <language>
    <languageTerm authority="iso639-2b" type="code">spa</languageTerm>
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  <language>
    <languageTerm authority="iso639-2b" type="code">eng</languageTerm>
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    <extent>páginas: 291-300</extent>
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  <abstract> 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.</abstract>
  <subject>
    <topic>ALERGIA</topic>
  </subject>
  <subject>
    <topic>ENFERMEDADES INFECCIOSAS</topic>
  </subject>
  <subject>
    <topic>MEDICINA CLÍNICA</topic>
  </subject>
  <subject>
    <topic>GASTROENTEROLOGÍA</topic>
  </subject>
  <subject>
    <topic>SALUD PÚBLICA</topic>
  </subject>
  <relatedItem type="host">
    <titleInfo>
      <title>The New England Journal of Medicine</title>
    </titleInfo>
    <originInfo>
      <publisher>Massachusetts NEJM Group</publisher>
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    <identifier>NEJM003</identifier>
    <identifier type="issn">0028-4793</identifier>
    <identifier type="local">ESSALUD</identifier>
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    <recordCreationDate encoding="marc">      </recordCreationDate>
    <recordChangeDate encoding="iso8601">20260804164633.0</recordChangeDate>
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