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Isospora Belli CASO CLINICO

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Isospora belli

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Ecuador

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Isospora Belli CASO CLINICO
 

Isospora Belli CASO CLINICOOnline version

Isospora belli

by belen samaniego
1

What parasite was confirmed by the duodenal biopsy?

2

What type of anemia did the patient have?

3

Which liver-related markers were elevated?

4

What abdominal imaging finding was reported?

5

What duodenal endoscopy finding was described?

6

Which test was definitive for the diagnosis?

7

What was the status of the parasitological stool tests?

8

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

9

What was one notable hematologic/iron parameter result?

10

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

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Biopsy showed protozoa compatible with Isospora belli, confirming the infection.

Laboratory results showed low hemoglobin, microcytosis, and low ferritin indicating iron deficiency.

Transaminases GOT/GPT and GGT were markedly elevated, signaling hepatic involvement.

Ultrasound showed enlarged liver and spleen with slight biliary dilation.

Endoscopy revealed duodenal mucosa with empedrado and villous loss.

Definitive diagnosis came from histology of the duodenal biopsy.

Coprocultivo, parasites in stools, and Ziehl-Neelsen were negative despite infection.

Ultrasound noted mild dilation of the biliary tract.

Ferritin was markedly low, supporting iron deficiency.

Even when stool tests are negative, infection can persist in immunocompromised patients.

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