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Intestinal giardiasis, steatorrhoea and peripheral nerve dysfunction.

M L Bassett, T A Cook, G Danta

    Clinical and Experimental Neurology
    |January 1, 1977
    PubMed
    Summary
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    Peripheral neuropathic symptoms in two patients resolved after treating intestinal giardiasis with metronidazole. This suggests a potential link between this parasitic infection and neurological conditions.

    Area of Science:

    • Neurology
    • Infectious Diseases
    • Gastroenterology

    Background:

    • Peripheral neuropathy can present with diverse etiologies.
    • Intestinal parasitic infections, such as giardiasis, can manifest with various symptoms.

    Purpose of the Study:

    • To investigate the potential association between intestinal giardiasis and peripheral neuropathic symptoms.
    • To report on the clinical course and treatment outcomes in patients with concurrent giardiasis and neuropathy.

    Main Methods:

    • Case study of two patients presenting with peripheral neuropathic symptoms.
    • Diagnostic workup included electromyography, muscle biopsy, and nerve conduction studies.
    • Assessment for intestinal giardiasis and treatment with metronidazole.

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    Main Results:

    • Both patients exhibited muscle denervation on electromyography and biopsy, with normal nerve conduction studies.
    • Intestinal giardiasis was diagnosed in both patients, one asymptomatic and the other symptomatic.
    • Metronidazole treatment resolved gastrointestinal symptoms, followed by gradual improvement in neurological deficits over months.

    Conclusions:

    • Intestinal giardiasis may be an underlying cause of peripheral neuropathy in select cases.
    • Prompt treatment of giardiasis can lead to recovery of neurological function.
    • Further research is warranted to elucidate the pathogenic mechanisms linking giardiasis and neuropathy.