Soil-transmitted helminthsDownloads

A 4-year-old girl presents with recurrent abdominal pain and a low-grade fever for the past 2 months. The patient’s mother says that she has lost her appetite which has caused some recent weight loss. She adds that the patient frequently plays outdoors with their pet dog. The patient is afebrile and vital signs are within normal limits. On physical examination, conjunctival pallor is present. Abdominal examination reveals a diffusely tender abdomen and significant hepatomegaly. There is also a solid mass palpable in the right upper quadrant measuring about 3 x 4 cm. Laboratory findings are significant for the following: Hemoglobin (Hb%) 9.9 g/dL Total count (WBC) 26,300/µL Differential count Neutrophils 36% Lymphocytes 16% Eosinophils 46% Platelets 200,000/mm3 Erythrocyte sedimentation rate 56 mm/h C-reactive protein 2 mg/L Serum globulins 5 g/dL Laparoscopic resection of the mass is performed, and a tissue sample is sent for histopathology. Which of the following is the organism most likely responsible for this patient’s condition?

A 22-year-old man presents with abdominal cramps and diarrhea over the last few weeks. He notes that several of his bowel movements have a small amount of blood. Past medical history is significant for an intermittent cough that has been persistent since returning from Mexico last month. The patient takes no current medications. On physical examination, there is diffuse tenderness to palpation. Which of the following medications is indicated for this patient’s condition?