PMC5081375_01
Representative picture showing results from three independent endoscopic evaluations of the intestine of the patient obtained at different times before he was started on antibiotic therapy. There was no opportunity for further evaluations during treatment.
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F1
Sir Ganga Ram Hospital and All India Institute of Medical Sciences) for the treatment of his ailment. Several endoscopic evaluations conducted during the visits to hospitals demonstrated the presence of inflammation in the intestine (Figure 1); however, the gastroenterologists did not include CD as one of the possible reasons for inflammation.
(A) Heavy shedding of typical MAP bacilli as seen in ZN staining: 4+ (positive). (B) Negative for MAP bacilli at the end of 12 months of treatment.
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F2
Microscopic examination of the stool specimen revealed the patient was shedding massive numbers of acid fast short rods (cocco-bacilli) (+3 to +4), with morphology indistinguishable from MAP (Figure 2A).