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Unusual Presentation of Strongyloides with Microscopic Colitis (Shoreline Exhibit Hall) - Sep 8, 2021 - Abstract #ACG2021ACG_2492; Oral ivermectin was started and given for 5 days...There is scant literature if Strongyloides leads to microscopic colitis. Bacterial infection leading to microscopic colitis is known but parasitic cause is not known yet.Figure: A- 400X view showing adult worms from duodenal mucosa B- 100X view showing inflammatory infiltrate and lymphoid aggregates and eosinophils from transverse colon
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Hemophagocytic Lymphohistiocytosis in a Liver Transplant Recipient (Shoreline Exhibit Hall) - Sep 8, 2021 - Abstract #ACG2021ACG_2282; The patient was initially treated with dexamethasone followed by several cycles of etoposide, and finally emapalumab due to refractory disease...Treatment is with immunosuppression or chemotherapy. HLH is often fatal and prompt recognition and consultation with Hematology is necessary.Figure: Endoscopy photograph demonstrating denuded duodenal mucosa with bleeding.
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Severe Protein-Calorie-Vitamin Malnutrition Caused by Overlapping Scabies-Induced Erythroderma, Thiamine Deficiency and Wet Beriberi (Shoreline Exhibit Hall) - Sep 8, 2021 - Abstract #ACG2021ACG_1317; Thiamine deficiency severe enough to cause Wet Beriberi is also rare in adults and is far more likely to occur in developing countries and rural areas. This case illustrates both the importance of having a broad differential for malnutrition and a high index of suspicion for complications, as both the rare cause and rare complication seen in this case were effectively treated with targeted therapy.Figure: Image 1: A) Widespread erythroderma with visible excoriations covering >50% of the body surface area; B) Erythroderma and excoriations on the foot, with an area of clustered crusting representing a high number of scabies mites
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Incidental Finding of Chronic Strongyloides Stercoralis via Endoscopic Gastric Biopsy (Shoreline Exhibit Hall) - Sep 8, 2021 - Abstract #ACG2021ACG_934; Case Description/ An 82-year-old male with a prior history of gastrointestinal hemorrhage due to TTP, on chronic prednisone, presented for nausea and weight loss...Chronic strongyloidiasis can be a challenging diagnosis given its vague presentation. Though rarely seen, endoscopic evaluation can help supplement a diagnosis by directly visualizing S. Stercoralis and its histopathology.Figure: Figure A: lesser curvature of the stomach with evidence of gastritis and epithelial hemorrhageFigure B: pylorus with surrounding mucosal inflammation and epithelial hemorrhageFigure C: duodenal inflammation
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Parasitic Pancreatitis: A Rare Case of Strongyloidiasis (Shoreline Exhibit Hall) - Sep 8, 2021 - Abstract #ACG2021ACG_772; Several reports describe direct visualization of larva upon pathologic examination though this is unusual. In summary, lab work, high clinical suspicion, and a thorough patient history can aid clinicians in making a timely diagnosis.Figure: Diffuse hemorrhagic gastritis; Strongyloides stercoralis life cycle
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A Rare and Late Complication of COVID-19 Infection: Pneumatosis Intestinalis (Shoreline Exhibit Hall) - Sep 8, 2021 - Abstract #ACG2021ACG_344; He did not require hospital admission, but patient took dexamethasone, Ivermectin for 3-5 days...Steroid treatment, bowel rest and hyperbaric oxygen therapy can resolve the problem. In our patient, he had good bowel rest, bowel preparation for colonoscopy which might contributed for the resolution on his CT scan.Figure: Colonoscopy showing Pneumatosis intestinalis in descending colon (see Figure 1 and 2)
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Clinical, Journal: Antiviral Effects of Ivermectin in COVID-19- Clinically Plausible. (Pubmed Central) - Sep 8, 2021 In our patient, he had good bowel rest, bowel preparation for colonoscopy which might contributed for the resolution on his CT scan.Figure: Colonoscopy showing Pneumatosis intestinalis in descending colon (see Figure 1 and 2) No abstract available
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Review, Journal: How trustworthy guidelines can impact outcomes. (Pubmed Central) - Sep 8, 2021 We provide an example of how rapid and rigorous guidelines can be accomplished, even in the setting of a pandemic, capitalizing on expertise, large and dedicated teams, and focused scope. We highlight the benefits of multifaceted knowledge dissemination through multiple formats to ensure global dissemination and in order to maximize impact.
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