October 2002 Vol XXVI Issue 10

FOODBORNE ILLNESS, SERIES #2

Jason M. Wilkes and Jack A. DiPalma

Food poisoning is a common cause of gastrointestinal illness in some 76 million people annually in the United States. Most cases of food poisoning are self-limited and do not require antimicrobial therapy. Doctors Wilkes and DiPalma's article covers the organisms that cause bacterial food poisoning, the symptoms and which, if any, treatment should be given.

TREATMENT OF IRRITABLE BOWEL SYNDROME, SERIES #4

Diagnosis of Irritable Bowel Syndrome

Brooks D. Cash and William D. Chey

Irritable bowel syndrome (IBS) in the United States and Britain is estimated to be 14% to 20% in women and 5% to 19% in men. The costs for diagnosing and treating IBS is over one billion dollars in the United States alone. This paper by Doctors Cook and Chey reviews the available evidence for diagnosing and highlights the difficulties in diagnosing a condition that has no definitive laboratory, radiologic or endoscopic markers.

A CASE TO REMEMBER

Pulsatile Metastases: What Every Medical Practitioner Should Know

Herbert L. Fred, Carlos Salazar and Saadia A. Faiz

"If a metatasis pulsates, the primary tumor is carcinoma of the kidney or thyroid gland." This sentence, according to Doctor Fred and his co-authors, summarizes the available literature on pulsatile metastases, and represents what every medical practitioner should know about this condition.

A CASE TO REMEMBER

CMV as a Cause of Multiple Macroscopic Liver Abscesses in an Immunocompetent Host: A Case Report and Review of the Literature

Robin Midian-Singh, Anil Singh, Asif Qadri, Ronald D. Crock and Nabil Fahmy

The authors cite a case of a patient with multiple liver macroscopic hepatic abscesses containing Fusobacterium necrophorum and Cytomegalovirus. This combination of organisms and specifically a viral pathogen has not been previously reported.

PEARLS OF GASTROENTEROLOGY

Worms in the Urine Signaling Disseminated Strongyloidiasis

Herbert L. Fred, Niraj N. Mehta and Luciano B. Lemos

by Herbert L. Fred, Niraj N. Mehta and Luciano B. Lemos Doctors Fred, Mehta and Lemos present a case in which Strongyloides stercoralis was found in an unusual site-the urine.

PAGES FROM A GASTROENTEROLOGIST'S CASEBOOK, SERIES #13

The Puzzling Association of Pancreatitis and Crohn's Disease

Henry D. Janowitz, assisted by Todd Linden

Authors Janowitz and Linden present a case of pancreatitis associated with Crohn's Disease.

A Guide for Patients

HEMOCHROMATOSIS

Department Review