Isospora Belli CASO CLINICO

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Isospora belli

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belen samaniego

Ecuador

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Isospora Belli CASO CLINICO


Isospora Belli CASO CLINICOVersión en línea Isospora belli por belen samaniego 1 What parasite was confirmed by the duodenal biopsy? a Entamoeba histolytica b Isospora belli c Cryptosporidium parvum d Giardia lamblia 2 What type of anemia did the patient have? a Aplastic anemia b Iron-deficiency (ferropénica) anemia c Hemolytic anemia d Megaloblastic anemia 3 Which liver-related markers were elevated? a GOT, GPT, and GGT b ALP, AST, ALT c Total bilirubin, ALP, GGT d LDH, CK, ALT 4 What abdominal imaging finding was reported? a Isolated splenomegaly b Normal liver size c Gallstones with normal liver d Hepatosplenomegaly with mild biliary dilation 5 What duodenal endoscopy finding was described? a Normal mucosa b Ulcerated gastric lining c Esophageal varices d Mucosa with a cobblestone ('empedrado') pattern and loss of villous pattern 6 Which test was definitive for the diagnosis? a Endoscopic brush cytology b Blood culture c Duodenal biopsy d Stool antigen testing 7 What was the status of the parasitological stool tests? a Positive for Giardia b Positive for Isospora belli in stool c All coproparasitarios were negative d Positive for Cryptosporidium 8 What imaging or endoscopy finding related to the biliary system was noted? a Cholelithiasis b Biliary atresia c Dilatación leve de la vía biliar (mild biliary dilation) d Cholangitis signs only 9 What was one notable hematologic/iron parameter result? a Ferritina 100 ng/dl (normal) b Ferritina 50 ng/dl (low-normal) c Ferritina 17 ng/dl (low) d Ferritina 200 ng/dl (high) 10 What infection characteristic was noted about stool in some immunocompromised patients? a The parasite may not be eliminated from stools consistently b It is confined to blood only c It never appears in stool d It is always cleared after antibiotics Feedback 1 Biopsy showed protozoa compatible with Isospora belli, confirming the infection. 2 Laboratory results showed low hemoglobin, microcytosis, and low ferritin indicating iron deficiency. 3 Transaminases GOT/GPT and GGT were markedly elevated, signaling hepatic involvement. 4 Ultrasound showed enlarged liver and spleen with slight biliary dilation. 5 Endoscopy revealed duodenal mucosa with empedrado and villous loss. 6 Definitive diagnosis came from histology of the duodenal biopsy. 7 Coprocultivo, parasites in stools, and Ziehl-Neelsen were negative despite infection. 8 Ultrasound noted mild dilation of the biliary tract. 9 Ferritin was markedly low, supporting iron deficiency. 10 Even when stool tests are negative, infection can persist in immunocompromised patients.

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Isospora Belli CASO CLINICO

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Isospora Belli CASO CLINICOVersión en línea

por belen samaniego

What parasite was confirmed by the duodenal biopsy?

What type of anemia did the patient have?

Which liver-related markers were elevated?

What abdominal imaging finding was reported?

What duodenal endoscopy finding was described?

Which test was definitive for the diagnosis?

What was the status of the parasitological stool tests?

What imaging or endoscopy finding related to the biliary system was noted?

What was one notable hematologic/iron parameter result?

What infection characteristic was noted about stool in some immunocompromised patients?

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