Giardiasis in a hematopoietic stem cell transplant patient.

Autor: Ajumobi AB; Department of Internal Medicine, Division of Gastroenterology, University of Texas Health Science Center, San Antonio, Texas, USA., Daniels JA, Sostre CF, Trevino HH
Jazyk: angličtina
Zdroj: Transplant infectious disease : an official journal of the Transplantation Society [Transpl Infect Dis] 2014 Dec; Vol. 16 (6), pp. 984-7. Date of Electronic Publication: 2014 Jul 28.
DOI: 10.1111/tid.12272
Abstrakt: Giardiasis can mimic diarrhea secondary to mucosal injury from the conditioning therapy prior to hematopoietic stem cell transplant (HSCT), as well as from graft-versus-host disease (GVHD). Herein, we describe the endoscopic diagnosis of giardiasis in a patient 2 months after HSCT for myelodysplastic syndrome. The patient was referred to gastroenterology service for suspected GVHD, but duodenal biopsy results showed Giardia lamblia. He was successfully treated with metronidazole with prompt resolution of all of his gastrointestinal symptoms. This case highlights the need to consider giardiasis in the differential diagnosis of diarrhea in the peri-transplant period.
(© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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