Giardia lamblia ACUTE DIARRHEA DISEASE

Authors

  • GERARDO M. ELIZALDE G. Medico-cirujano
  • NICOLÁS ÁLVARO Departamento de Medicina Humana, Facultad de Medicina - UNMSM. y Departamento de Patología Clínica, Hospital Dos de Mayo
  • GERARDO ELIZALDE B. Departamento de Medicina Humana (Radiología), Facultad de Medicina - UNMSM. y Departamento de Radiología, Hospital Dos de Mayo

DOI:

https://doi.org/10.15381/anales.v63i1.1474

Keywords:

Giardiasis, gastrointestinal diseases, diarrhea, tropical zones, tropical ecosystem

Abstract

OBJETIVE: To determine the pathogenicity of Giardia lamblia in relation to acute diarrhea. SETTING: Dos de Mayo National Hospital, Lima, Peru. MATERIALS AND METHODS: From 20116 coproscopies from same number of patients, we studied 57 who presented G. lamblia alone. They came mainly from Lima Department. In the fecal material we performed: 1) Stools Thevenon reaction; 2) Methilene blue and lugol staining; 3) Parasite concentration with Faust centrifugation - flotation technique; 4) Complete blood count; 5) Enterotest; 6) Radiological intestinal contrast study (intestinal transit). RESULTS: The 57 cases presented diarrhea, anorexia, epigastric pain, nausea, and weigth decrease. With methilene blue polymorphonuclear cells and/or monocytes were found in 3%. Serial stool exams (3 samples) showed over 150 cysts/gram of stools and enterotest verified vegetative and/or cystic flagelate forms. Thevenon reaction was negative. Radiologic study in 17 of 35 cases showed morphologic alterations at the duodenal-jejunum segment. Hemogram revealed moderate anemia in 45 of 57 cases. Symptomatology improved with metronidazol (26 giardiasics) and/or albendazol (31 giardiasics) treatment. CONCLUSION: Cosmopolitan flagelated Giardia lamblia is one of the causes of acute diarrhea in our population.

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Published

2002-03-18

Issue

Vol. 63 No. 1 (2002)

Section

Trabajos originales

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Copyright (c) 2002 GERARDO M. ELIZALDE G., NICOLÁS ÁLVARO, GERARDO ELIZALDE B.

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How to Cite

1.
ELIZALDE G. GM, ÁLVARO N, ELIZALDE B. G. Giardia lamblia ACUTE DIARRHEA DISEASE. An Fac med [Internet]. 2002 Mar. 18 [cited 2024 Jul. 6];63(1):25-31. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/1474