Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, non-bloody, watery diarrhea, abdominal cramping, and significant weight loss. History significant for severe immunocompromise (e.g., advanced HIV/AIDS with low CD4 count). Symptoms are progressive, associated with malabsorption, and unresponsive to standard anti-diarrheal therapy. Potential systemic involvement noted, including ocular irritation or respiratory symptoms.
Clinical Examination Findings
General: Patient appears cachectic and chronically ill. HEENT: Possible conjunctival injection or keratoconjunctivitis. Abdomen: Soft, non-distended, hyperactive bowel sounds, mild diffuse tenderness on palpation, no rebound or guarding. Skin: Signs of dehydration, poor skin turgor. Neurological: Alert and oriented, no focal deficits.
Treatment Protocol
Initiate Albendazole 400 mg orally twice daily. Duration of therapy is prolonged, typically 2-4 weeks or longer depending on immune reconstitution. Monitor liver function tests (LFTs) and complete blood count (CBC) periodically. Address underlying immunosuppression (e.g., optimize ART in HIV patients). Supportive care: Oral rehydration therapy, electrolyte replacement, and nutritional support.