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Medical Case Study: Persistent Diarrhea in a U.S. FBI Agent in the Philippines

This case study explores a 45-year-old male FBI agent who presented with persistent diarrhea while performing construction work in the Philippines. Upon examination, the relevant diagnosis was made based on a stool sample analysis, indicating potential causes, including liver fluke and ameba infections. Key clinical features included abdominal pain and eosinophilia. The recommended treatment involved the use of praziquantel or albendazole. This case highlights the importance of proper diagnosis and treatment in international medical scenarios.

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Medical Case Study: Persistent Diarrhea in a U.S. FBI Agent in the Philippines

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Presentation Transcript

  1. Case Study

  2. A 45-year-old G man was assigned to perform construction work in the Philippines, USA. 

  3. G man? a special law-enforcement agent of the Federal Bureau of Investigation (FBI) B. • Gay man C. a recurring character in the Half-life series of first person shooter computer games D. Government man

  4. He went to a local hospital in the Philippines for persistent diarrhea.

  5. Persistent diarrhea? If you are the doctor, what will you do first? A. Give him the berberine(黄连素) and ask him to go home B. Arrange the enteroscope for him C. Tell him to do the simple examination of his stool

  6. Your Presumption A. Ulcerated colonitis B. The disorders of the function of the intestinal tract C. Caused by parasites of microorganism D. Take the bitter aloes (泻药) on the sneak so that he can ask for a leave

  7. A stool examination was performed on a formalin fixed stool concentrate of his specimen.

  8. Diagnosis • China Liver Fluke B. Amebae C. Sesame D. Rice

  9. Clinical Features • Most pathologic manifestations result from inflammation and intermittent obstruction of the biliary ducts. 

  10. Clinical Features • In the acute phase, abdominal pain, nausea, diarrhea, and eosinophilia can occur.  In long-standing infections, cholangitis, cholelithiasis, pancreatitis, and cholangiocarcinoma can develop, which may be fatal.

  11. Treatment • Praziquantel or albendazole* are the drugs of choice. 

  12. The end

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