000 01621nam a2200265 4500
001 ESSALUD
005 20260804164633.0
007 ta
008 t pe ||||| |||| 00| 0 spa d
040 _aBMG
041 _aeng
100 _aAhonkhai, Aima A.
_eAutor
_953772
245 _aCase 20-2026: A 38-year-old man with abdominal pain
300 _apáginas: 291-300
520 _a 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.
650 _aALERGIA
_97055
650 _aENFERMEDADES INFECCIOSAS
_96776
650 _aMEDICINA CLÍNICA
_933681
650 _aGASTROENTEROLOGÍA
_912562
650 _aSALUD PÚBLICA
_91652
700 _aHeller, Howard M.
_953773
700 _aSchrader, Sarah M.
_953774
773 0 _022717
_922636
_dMassachusetts NEJM Group
_oNEJM003
_tThe New England Journal of Medicine
_wESSALUD
_x0028-4793
942 _cARTICULOS
_e2026-07-31
_zSQB
999 _c22743
_d22743