1Gastroenterology Section, Internal Medicine Department. CEMIC, Buenos Aires, Argentina
International Journal of Celiac Disease.
2014,
Vol. 2 No. 2, 67-69
DOI: 10.12691/ijcd-2-2-9
Copyright © 2014 Science and Education PublishingCite this paper: Juan Lasa, Ignacio Zubiaurre. Should Small Intestine Bacterial Overgrowth be Ruled out as a Cause of Non-Responsive Celiac Disease?: A Case Report.
International Journal of Celiac Disease. 2014; 2(2):67-69. doi: 10.12691/ijcd-2-2-9.
Correspondence to: Juan Lasa, Gastroenterology Section, Internal Medicine Department. CEMIC, Buenos Aires, Argentina. Email:
drjuanslasa@gmail.comAbstract
Non-responsive celiac disease is defined as the persistency of symptoms, signs or laboratory abnormalities typical of CD despite 6-12 months of dietary gluten avoidance. Small intestine bacterial overgrowth has been classically considered a potential cause for non-responsive celiac disease. Nevertheless, the evidence regarding its prevalence among non-responsive celiac patients is conflicting, as well as the evidence showing a benefit in small intestine bacterial overgrowth treatment in this clinical setting. We report the case of a 34 year-old woman diagnosed with non-responsive celiac disease in spite of adequate gluten-free diet, that had complete resolution of symptoms after treatment with antibiotics for small intestine bacterial overgrowth.
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