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Fever and urticaria in acute giardiasis
1Department of Medicine, New England Deaconess Hospital, Harvard Medical School, Boston, MA 02215.
Archives of Internal Medicine
|April 1, 1989
Summary
Giardiasis, an intestinal infection, can cause skin rash (urticaria) and fever. Early diagnosis and treatment with metronidazole are effective for travelers experiencing these symptoms.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Dermatology
Background:
- Travelers' diarrhea affects millions annually, with various bacterial, viral, and parasitic causes.
- Giardia lamblia is a known pathogen causing gastrointestinal symptoms like bloating and cramps.
Observation:
- A rare case of acute giardiasis presented with urticaria and high fever in an American tourist.
- No other infectious agents were identified as the cause of the symptoms.
Findings:
- The patient experienced acute giardiasis with concurrent urticaria and fever.
- Symptoms resolved promptly following metronidazole treatment, indicating its efficacy.
Implications:
- Urticaria and fever should be considered potential symptoms of giardiasis in travelers.
- This case highlights the importance of including giardiasis in the differential diagnosis for febrile urticarial illnesses in travelers.