Abstract
Background: Helicobacter pylori infection affects more than half of the world population and it occurs generally in childhood. Risk factors include residence in a developing country, poor socio-economic status, overcrowding family, ethnic and genetic predisposition. There is a difficulty eradicating this bacterium due to its high antimicrobial resistance. We aim to discuss enforcement and management of Helicobacter pylori infection in children. Case Presentation: A 5 year 10 months old girl diagnosed with recurrent abdominal pain due to Helicobacter pylori infection. The patient often had recurrent abdominal pain located specifically on epigastrium area. Laboratory findings demonstrated H. pylori IgM positive and negative IgG level. The result of endoscopy and biopsy revealed gastritis and mild intestinal metaplasia and moderate Helicobacter pylori density. The patient still experienced abdominal pain despite the standard therapy, and later received rescue therapy. Conclusion: Eradication of H. pylori was failed with standard therapy and continued with rescue therapy. Keywords: Helicobacter pylori infection, rescue therapy, standard therapy, case report.
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