Giardiasis

2007-07-04T16:50:00.000-07:00

Giardiasis
From Wikipedia, the free encyclopedia

Classification & external resources ICD-10 A07.1
ICD-9 007.1
MedlinePlus 000288
eMedicine emerg/215

Giardiasis (also known as beaver fever) is a disease caused by the flagellate protozoan Giardia lamblia (also Giardia intestinalis). The giardia organism inhabits the digestive tract of a wide variety of domestic and wild animal species as well as humans. It is a common cause of gastroenteritis in humans, infecting approximately 200 million people worldwide.

Giardiasis is passed via the fecal-oral route. Primary routes are personal contact and contaminated water and food. People who spend time in institutional or day-care environments are more susceptible, as are travelers and those who consume improperly treated water. It is a particular danger to people hiking or backpacking in wilderness areas worldwide. Giardia is suspected to be zoonotic—communicable between animals and humans. Major reservoir hosts would include beavers, dogs, cats, horses, and cattle.

Symptoms include:

1. loss of appetite,
2. lethargy,
3. fever,
4. explosive diarrhea,
5. loose or watery stool,
6. stomach cramps
7. upset stomach,
8. projectile vomiting (uncommon),
9. bloating, and
10. flatulence.

Symptoms typically begin 1–2 weeks after infection and may wane and reappear cyclically. Symptoms are caused largely by the thick coating of Giardia organisms coating the inside of the small intestine and blocking nutrient absorption. Most people are asymptomatic; only about a third of infected people exhibit symptoms.

Treatment
Drugs used to treat adults include:

metronidazole,
albendazole and quinacrine.
Furazolidone and nitazoxanide may be used in children.
Treatment is not always necessary, as the body can defeat the infection by itself.
The drug tinidazole—trade name Fasigyn or Tindamax—can treat giardiasis in a single treatment of 2000 mg, instead of the longer treatment of the other medications listed. The shorter duration of treament may also cause less patient distress. Tindamax is now approved by the FDA[1] and available to U.S. patients.
The supplement barberry (Berberis vulgaris) can also be helpful in treating Giardiasis.[2][3]

References

^ FDA info on Tindamax,.
^ List of natural supplements, retrieved Feb. 7, 2007
^ [1]

External links

Giardiasis Fact Sheet
eMedicine Health Giardiasis

To view information on another Digestive Disease, click on Digestive Diseases Library

Digestive Diseases Library