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Giardiosis as a Rare Disorder in Differential Diagnosis of Abdominal Pain


Authors: L. Puszkailer
Authors‘ workplace: Chirurgicko-traumatologické oddělení nemocnice Šternberk o. z., Středomoravská nemocniční a. s.
Published in: Rozhl. Chir., 2009, roč. 88, č. 4, s. 200-202.
Category: Monothematic special - Original

Overview

The author is submitting a casuistry of the boy with nonspecific tummy ache.The cause of this illness was diagnosed as a paratrophic infection Giardia intestinalis. The author point sout it is necessary to have this seldom occurred children illness in consideration mainly in cases, when the doctor has a patient with nonspecific tummy ache and when these aches do not abate usual therapy or if there is a complication blond all understanding. As far as our patient is concerned it was cholecystitis discovered by ultrasound checkup which was done for nonspecific tummy ache. That is why it is necessary to have this illness in mind and mainly when there is a patient with nonspecific tummy ache and when the usual therapy does not work. In these cases the author recommends ultrasound tummy checkup and stercus checkup for parasites. The diagnostics consist in demonstratio of trophozoits or cystis in stercus. These days imunochromatografic test using ELISA method on the principles of detection with the help of monoclonal antibodies is preferred. The test is high sensitive and specific. The first choice medicine is metronidazol.

Key words:
Giardia intestinalis – cholecystitis – tummy ache


Sources

1. Ali Sa, Hill, D. Giardia intestinalis. Curr. Opin. Infect. Dis., 2003, Oct. 16(5), 453–460.

2. El-Sahn, A. A., Megahed, A. M., Eissa, S. M., Barakat, R. M. Diagnosis of giardiasis using an enzyme-linked immunosorbent assay(ELISA) on formalin preserved stools. J. Egypt Public Healt Assoc., 2000: 75(3-4): 277–290.

3. Escobedo, A. A., Alvarez, G., Gonzales, M. E., Almirall, P., Cimerman, S., Ruiz, A. The treatment of giardiasis in children: single-dose tinidazol compared with 3 days of nitazoxanide. Ann. Trop. Med. Parasitol., 2008 Apr: 102(3): 199–207.

4. Galndalz, T., Demarell, M. M., Inceboz, T., Tosun, S. Prevalence of intestinal parasitosis in children with gastrointestinal symptoms associated with socioeconomic conditions. Turkyie Parazitko. Derg., 2005: 29(4): 264–267.

5. Gardner, T. B., Hill, D. Treatment of giardiasis. Clin. Microbiol. Rev., 2001 Jan: 14(1): 114–208.

6. Havlík, J., a kol. Infektologie. 1990.

7. Nenoff, P., Domula, E., Willing, U., Hermann, J. Giardia lamblia - cause of urticaria and pruritus or accidental association? Hautarzt, 2006 Jun: 57(6): 518–520, 521–522.

8. Younas, M., Shah, S., Talaat, A. Frequency of giardia lamblia infection in children with reccurent abdominal pain. J. Pak. Med. Assoc., 2008 Apr: 58(4): 171–174.

9. Zalipaeva, T. I. Clinical symptoms of giardia infection in children. Med. Parazitko. (mosk), 2002 Jul-Sept: (3): 29–32.

Labels
Surgery Orthopaedics Trauma surgery
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