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[Giardiasis with malabsorption syndrome: report of one case]
1Department of Pediatrics, National Taiwan University Hospital, Taipei, R.O.C.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|March 1, 1990
Summary
Giardiasis, a parasitic infection, can cause malabsorption syndrome in children, leading to symptoms like edema and low albumin. Early diagnosis and treatment with metronidazole are crucial for recovery.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- Malabsorption syndrome can present with non-specific symptoms, potentially delaying diagnosis.
- Giardiasis is a common parasitic infection that can lead to gastrointestinal issues and nutrient malabsorption.
Observation:
- A 10-year-old girl presented with generalized edema, vomiting, and poor appetite.
- She had low serum albumin without proteinuria, bulky stools, and elevated fecal fat.
- Initial stool parasite examination was negative, but low trypsin activity was noted.
Findings:
- Giardiasis was confirmed via duodenal juice examination.
- Intestinal histology showed villous shortening and inflammation.
- Treatment with metronidazole resolved symptoms, edema, and normalized albumin levels.
Implications:
- Giardiasis should be considered in the differential diagnosis of malabsorption syndrome, especially in endemic areas.
- Prompt diagnosis and treatment can prevent complications and ensure full recovery.
- This case highlights the importance of comprehensive diagnostic approaches for pediatric malabsorption.