Alter Health Services

Digging Deeper With The Healthcare Detective™

The Case of the Little Girl with a Big Rash.

Posted 07.21.2018 in The Case Files

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  • NAME: Harriet
  • AGE: 2
  • GENDER: Female


HISTORY: Harriet’s mother brought her in for advice relating to trying to deal with an unrelenting wet, scaley rash behind both ears, on the side of the face. Dermatologist recommended a topical steroid cream that reduced the appearance of the rash but did not resolve it. The rash would return quickly if the cream was stopped even for a short time.


ANALYSIS AND SUSPECTS: Little testing had been performed elsewhere on Harriet before her first visit. Toxicities and autoimmune reactions are often associated with these types of reactions. Effort was made to rule out these potential suspects. Additionally, further investigation revealed that the child was living in an environment with a known mold issue, resulting from water intrusion in the basement of the home they were renting.


A diagnostic stool test was ordered with the following results:

  • 4 parasites
  • Possible Salmonella
  • Opportunistic bacterial overgrowth
  • Mold – in the GI


Eliminate the parasites, harmful bacteria and mold and then re-test.

December 2016: Began age-appropriate protocol for 6 weeks.


March 2017: 3 of the 4 parasites were no longer detected. GI mold was no longer detected. Potentially opportunistic bacteria were still present in varius species and amounts but Salmonella was no longer detected.

By the end of January 2017 the rash had greatly reduced, however during a rest phase in February the rash began to return.

Latest test results revealed:

  • Mold exposure confirmed and rather high amounts, especially Ochratoxin A
  • One parasite removed, others remained and one new one shows up. – probably hidden in biofilm
  • Still significant potentially pathogenic bacteria overgrowths


Repeat program, longer and using pulsed dose for parasites – ask them to reconsider Rx intervention for remaining parasites. Parents declined.

Must remove her from the source of mold exposure, will remove mold toxins from her body after.

  • Need to test primary living space for mold and mold toxins
  • May need to treat for MARCoNS – testing would be difficult – possibly treat in interim testing times-
  • Keep in mind that an HLA-DR could help determine her level of sensitivity but as it won’t affect the treatment plan it can wait, due to her age.


  • H-Pylori has been detected – cagA, dupA, never detected before
  • Labs reveal the presence of genetic variance that may result in a degree of resistance to some antibiotic medications for H-pylori.
  • 2 new parasites – not as pathogenic as those in the past but one of them still potentially an issue
  • Increased GI inflammation


New round of H-pylori focused treatment.

While waiting for the month to pass to re-test the DNA H-pylori test, begin mold remediation to remove mycotoxins from Harriet’s system.


GI MAP – if results come back still needing additional treatment, repeat with necessary modifications.

Once all clear, retest mycotoxins. When those are clear rule out SIBO if issues persist.


Latest GI –MAP shows everything is returned to normal except for the following:

Blastocyst Hominis – persists or has reoccurred was 1.4 e4 now 4.1e5 (norm is <2e3)

(all other past parasites, pathogenic bacteria and fungal growths are NOT detected on this round of testing)

There seems to be an issue with ongoing exposure to molds and parasites. Fecal oral contamination is more prevalent in animal farm environments like the one where Harriet lives. Well water contamination is also possible – investigate!

Rash did better while on the mold remediation including glutathione and zeolite. It has been

worse since stopping.


Start age appropriate parasite protocol.

Encourage additional testing to evaluate food sensitivities and intolerances.

A follow up mycotoxin test was ordered.


  • No parasites detected
  • 2 of the 3 high level mycotoxins had been reduced to normal levels and one remained.
  • Rash is gone on the face and minimal behind the ears. A small area on one wrist has developed.
  • The family has moved to a new home. Harriet is to have all bedding and clothing she comes in contact with washed with MoldClear enzyme solution.

At this point a food sensitivity test and an organic acids test were ordered.

February 2019: After several months of consideration (due to the patients age and not wanting to do a blood draw) the parents proceeded and discovered the following:

  • Mold and mold toxin metabolites were no longer detected
  • Gluten intolerance was identified as well as onion, pineapple, almond and tomato sensitivities.


Eliminate gluten long term and other irritating foods may be introduced after one year. Use gluten specialized probiotic, ongoing.


The rash has resolved with proper diet modifications. Harriet is a few years older now and better understands how to limit her risk to parasite exposure through proper hygiene around animals.

Their new home is mold free and the water is still on a well but runs through a purification system. They also use an air filter in the home with a mold spore capturing zeolite filter system.

Harriet may want to have a health screening as she begins adolescence (age 10-12), perhaps GI MAP and OAT unless specific concerns arise.

Healthier lives. Revealed Together.

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