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Elevated endogenous nitrate synthesis associated with giardiasis
K Wettig1, H J Dobberkau, F Flentje
1Forschungsinstitut für Hygiene und Mikrobiologie Bad Elster, GDR.
Summary
Patients with giardiasis exhibit significantly elevated urinary nitrate levels, fourfold higher than normal. This increase, potentially from endogenous synthesis, underscores nitrate
Area of Science:
- Medical Microbiology
- Clinical Chemistry
Background:
- Giardiasis is a common intestinal infection.
- Nitrate metabolism and its clinical implications are not fully understood.
Purpose of the Study:
- To investigate urinary nitrate levels in patients with giardiasis.
- To assess the impact of metronidazole treatment on nitrate levels.
Main Methods:
- Urine samples were collected from 117 giardiasis patients.
- Nitrate concentrations were measured and compared to normal values.
Main Results:
- Mean urinary nitrate levels were 155.3 mg/l, approximately fourfold higher than normal.
- Maximum concentrations reached 1000 mg/l.
- Metronidazole treatment initially increased, then normalized nitrate levels.
Conclusions:
- Endogenously synthesized nitrate in giardiasis patients significantly contributes to their total nitrate load.
- Urinary nitrate levels can serve as a potential biomarker in giardiasis.