       Document 0320
 DOCN  M9630320
 TI    Bacterial overgrowth in a patient with chronic diarrhea.
 DT    9603
 AU    Mahaney-Price AF; Shands Hospital, Gainesville, Fla., USA.
 SO    Nurse Pract. 1995 Sep;20(9):60-3. Unique Identifier : AIDSLINE
       MED/96059997
 AB    A case study is presented of a 47-year old, white female with a 1-year
       progressive history of diarrhea up to 20 liquid stools per day,
       accompanied by an 18-pound weight loss. She had presented with previous
       workup of gastroscopy revealing two stomach ulcers; colonoscopy
       revealing nonspecific colitis and one polyp that was subsequently
       removed and found to be benign; and a negative abdominal ultrasound. She
       was Helicobacter pylori negative and HIV negative. Her stools had been
       negative for blood, ova and parasites, and culture. She had been using
       well water from a new well for 2 years. String test was negative for
       Giardia. She had no diarrhea during a day of fasting. Carbon 14 D-xylose
       breath test was positive. She was discharged on a 14-day course of 500
       mg. Augmentin (amoxicillin 500 mg. with clavulanate potassium 125 mg.)
       by mouth every 8 hours. Seven weeks later, she was having four to five
       formed stools per day and had gained 16 pounds.
 DE    Bacterial Infections/COMPLICATIONS/*DIAGNOSIS  Breath Tests  Carbon
       Radioisotopes/DIAGNOSTIC USE  Case Report  Chronic Disease  Diagnosis,
       Differential  Diarrhea/*MICROBIOLOGY  Female  Human  Intestinal
       Diseases/COMPLICATIONS/*DIAGNOSIS  Middle Age  Xylose/DIAGNOSTIC USE
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

