TY  - BOOK
AU  - Ahonkhai, Aima A. 
AU  - Heller, Howard M.
AU  - Schrader, Sarah M. 
TI  - Case 20-2026: A 38-year-old man with abdominal pain
KW  - ALERGIA
KW  - ENFERMEDADES INFECCIOSAS
KW  - MEDICINA CLÍNICA
KW  - GASTROENTEROLOGÍA
KW  - SALUD PÚBLICA
N2  -  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
ER  -