Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 3
  1. Failure of the original treatment regimen 2 years ago. The patient was treated with an appropriate (and perhaps the most common) regimen for H. pylori infection 2 years ago with regards to both medications and dosages. The most likely cause of the patient’s current presentation is failure of the regimen to eradicate the organism. Failure of initial treatment of H. pylori can occur in up to 20% of patients.1 Re-infection is possible but far less likely than persistence of the original infection. A false-positive result on the gastric biopsy is also possible but is very unlikely given that gastric biopsy showing the presence of the organism is the gold standard for diagnosis of H. pylori infection.

    1. Vakil N. Primary and secondary treatment for Helicobacter pylori in the United States. Rev Gastroenterol Disord 2005;5:67–72.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 2/05/09 • nvf