SARKIS J. CHOBANIAN, M.D.; CHARLES WINTERS, M.D.; WILLIAM MARTLAND, M.D.; DAVID A. JOHNSON, M.D.; JAMES L. BUCK, M.D.; EDWARD L. CATTAU JR., M.D.
To the editor: Working at an international referral hospital, we have seen many exotic diseases among our well-traveled patients. It was with little excitement, therefore, that we agreed to see a patient with multiple serpiginous filling defects seen during an upper gastrointestinal tract series. Fully expecting the radiographic picture of ascaris infection, we were taught a valuable lesson by the ultimate endoscopic and histologic diagnosis: when one hears hoofbeats, do not assume you hear a member of the animal kingdom.
A 56-year-old Japanese woman was referred with solid-food dysphagia of 10 days' duration. She denied pyrosis, hematemesis, or ingestion of
SARKIS J. CHOBANIAN, CHARLES WINTERS, WILLIAM MARTLAND, DAVID A. JOHNSON, JAMES L. BUCK, EDWARD L. CATTAU. Esophageal Pseudoworm: "Pasta, not Parasite". Ann Intern Med. 1986;105:138. doi: 10.7326/0003-4819-105-1-138_1
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Published: Ann Intern Med. 1986;105(1):138.
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