薬学および薬学研究ジャーナル オープンアクセス

抽象的な

Failure of 3 Regimens to treat a case of Gastritis caused by Helicobacter Pylori in a 42-year-old June-December 2019

Musa Basheer Mansour

A 42-years old man brought to the hospital with bloating and dull epigastric pain without significant characters for 13 days. Systems review, social, habit and examination revealed nothing. He had reassured, advised to avoid spicy food and given Mebeverine.

 After 8 days, he came with the same complaints. Nothing significant except a positive H. pylorus in the stool. Given 14 days

{Pantoprazole 40mg/Clarithromycin 500mg} bid

Metronidazole 500mg tid

After 7 weeks H. pylori was positive. Given 14 days

{Pantoprazole 40mg/Clarithromycin 500mg/Metronidazole 500mg/Amoxicillin 1gram} bid

After 7 weeks H. pylori was positive. Given 14 days

Pantoprazole 40mg bid

{Bismuth Subsalicylate 524mg/Metronidazole 375mg/Tetracycline 500mg} qid

After 7 weeks H. pylori was positive. No facilities for endoscopy, urea breath test or Levofloxacin. Given 14 days (Pantoprazole 40mg/Clarithromycin 500mg/Amoxicillin 1gram} bid

Doxycycline 100mg daily

After 7 weeks H. pylori was negative, with no complaints or adverse effects. The patient was completely satisfied.