Giardiosis as a Rare Disorder in Differential Diagnosis of Abdominal Pain

Česká verzia

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

Summary

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

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