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Old 05-19-2012
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Question Traveler's Diarrhea with Ova in the Stool

Having trouble here. Thanks in advance and please explain your reasoning and answer. Thanks!

24yo Female recently traveled to SE Asia. C/O watery diarrhea, abdominal pain developed while traveling. Microscopy stool smear = presence of ova (I'm jumping at Crypto here). Which of the following would be an expected finding?

Anemia
Eosinophilia
Pancytopenia
Polymorhonuclear leukocytosis
Thrombocytosis
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Old 05-19-2012
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i have no idea what bug this is
i wish i knew what "presence of ova" signified.
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Old 05-19-2012
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ova = eggs? Prolly a worm, So I'm guessing eosinophilia. But if it was a hookworm, she could develop anemia over time.

I heard about a real case like this recently, where a woman young woman in her late 20's, who had immigrated from a south asian country 2 years ago, came to see her family dr. about intermittent abodominal pain, mild anemia and problems conceiving . she's been on iron supplement for a few months. Turned out to be a hookworm, and apparently it was an easy diagnosis.
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Last edited by slowpoke; 05-19-2012 at 02:27 PM.
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Old 05-19-2012
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Default guess is A/B

why r u jumping at crypto.......crypto causes watery dirrhoea in HIV+ patients....and also there r acid fast oocysts in stool.......It causes self-limiting infection in immunocompetent people rarely....

only invasive helminths cause eosinophilia.......may be EOSINOPHILIA is the answer.....

Answer can be Anemia too, if necator or ancylostoma is there.......!!!!
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I agree with Slowpoke......anemia and eosinophilia both seem to be right.......

whats the answer man ...????
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Quote:
Originally Posted by K06100 View Post
I agree with Slowpoke......anemia and eosinophilia both seem to be right.......

whats the answer man ...????
Eosinophilia man... anemia is too fast, she just came back from a trip. hookworm cycle takes some time before the anemia.
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Old 05-19-2012
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Yeah definitely eosinophila
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Eosinophilia for parasitic inf
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Old 05-20-2012
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Quote:
Originally Posted by Dr. Mexito View Post
Eosinophilia man... anemia is too fast, she just came back from a trip. hookworm cycle takes some time before the anemia.
hmmm...thanx
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Old 05-20-2012
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Yes possibly eosinophilia..
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