Development of functional gastrointestinal disorders after <it>Giardia lamblia </it>infection

<p>Abstract</p> <p>Background</p> <p>Functional gastrointestinal disorders (FGID) may occur following acute gastroenteritis. This long-term complication has previously not been described after infection with the non-invasive protozoan <it>Giardia lamblia</it>...

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Main Authors: Hanevik Kurt, Dizdar Vernesa, Langeland Nina, Hausken Trygve
Format: Article
Language:English
Published: BMC 2009-04-01
Series:BMC Gastroenterology
Online Access:http://www.biomedcentral.com/1471-230X/9/27
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author Hanevik Kurt
Dizdar Vernesa
Langeland Nina
Hausken Trygve
author_facet Hanevik Kurt
Dizdar Vernesa
Langeland Nina
Hausken Trygve
author_sort Hanevik Kurt
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Functional gastrointestinal disorders (FGID) may occur following acute gastroenteritis. This long-term complication has previously not been described after infection with the non-invasive protozoan <it>Giardia lamblia</it>. This study aims to characterize persistent abdominal symptoms elicited by <it>Giardia </it>infection according to Rome II criteria and symptoms scores.</p> <p>Methods</p> <p>Structured interview and questionnaires 12–30 months after the onset of <it>Giardia </it>infection, and at least 6 months after <it>Giardia </it>eradication, among 82 patients with persisting abdominal symptoms elicited by the <it>Giardia </it>infection. All had been evaluated to exclude other causes.</p> <p>Results</p> <p>We found that 66 (80.5%) of the 82 patients had symptoms consistent with irritable bowel syndrome (IBS) and 17 (24.3%) patients had functional dyspepsia (FD) according to Rome II criteria. IBS was sub classified into D-IBS (47.0%), A-IBS (45.5%) and C-IBS (7.6%). Bloating, diarrhoea and abdominal pain were reported to be most severe. Symptoms exacerbation related to specific foods were reported by 45 (57.7%) patients and to physical or mental stress by 34 (44.7%) patients.</p> <p>Conclusion</p> <p>In the presence of an IBS-subtype pattern consistent with post-infectious IBS (PI-IBS), and in the absence of any other plausible causes, we conclude that acute <it>Giardia </it>infection may elicit functional gastrointestinal diseases with food and stress related symptoms similar to FGID patients in general.</p>
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spelling doaj.art-481d0138cce640cc869afb5d6b8c157a2022-12-21T23:37:06ZengBMCBMC Gastroenterology1471-230X2009-04-01912710.1186/1471-230X-9-27Development of functional gastrointestinal disorders after <it>Giardia lamblia </it>infectionHanevik KurtDizdar VernesaLangeland NinaHausken Trygve<p>Abstract</p> <p>Background</p> <p>Functional gastrointestinal disorders (FGID) may occur following acute gastroenteritis. This long-term complication has previously not been described after infection with the non-invasive protozoan <it>Giardia lamblia</it>. This study aims to characterize persistent abdominal symptoms elicited by <it>Giardia </it>infection according to Rome II criteria and symptoms scores.</p> <p>Methods</p> <p>Structured interview and questionnaires 12–30 months after the onset of <it>Giardia </it>infection, and at least 6 months after <it>Giardia </it>eradication, among 82 patients with persisting abdominal symptoms elicited by the <it>Giardia </it>infection. All had been evaluated to exclude other causes.</p> <p>Results</p> <p>We found that 66 (80.5%) of the 82 patients had symptoms consistent with irritable bowel syndrome (IBS) and 17 (24.3%) patients had functional dyspepsia (FD) according to Rome II criteria. IBS was sub classified into D-IBS (47.0%), A-IBS (45.5%) and C-IBS (7.6%). Bloating, diarrhoea and abdominal pain were reported to be most severe. Symptoms exacerbation related to specific foods were reported by 45 (57.7%) patients and to physical or mental stress by 34 (44.7%) patients.</p> <p>Conclusion</p> <p>In the presence of an IBS-subtype pattern consistent with post-infectious IBS (PI-IBS), and in the absence of any other plausible causes, we conclude that acute <it>Giardia </it>infection may elicit functional gastrointestinal diseases with food and stress related symptoms similar to FGID patients in general.</p>http://www.biomedcentral.com/1471-230X/9/27
spellingShingle Hanevik Kurt
Dizdar Vernesa
Langeland Nina
Hausken Trygve
Development of functional gastrointestinal disorders after <it>Giardia lamblia </it>infection
BMC Gastroenterology
title Development of functional gastrointestinal disorders after <it>Giardia lamblia </it>infection
title_full Development of functional gastrointestinal disorders after <it>Giardia lamblia </it>infection
title_fullStr Development of functional gastrointestinal disorders after <it>Giardia lamblia </it>infection
title_full_unstemmed Development of functional gastrointestinal disorders after <it>Giardia lamblia </it>infection
title_short Development of functional gastrointestinal disorders after <it>Giardia lamblia </it>infection
title_sort development of functional gastrointestinal disorders after it giardia lamblia it infection
url http://www.biomedcentral.com/1471-230X/9/27
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AT dizdarvernesa developmentoffunctionalgastrointestinaldisordersafteritgiardialambliaitinfection
AT langelandnina developmentoffunctionalgastrointestinaldisordersafteritgiardialambliaitinfection
AT hauskentrygve developmentoffunctionalgastrointestinaldisordersafteritgiardialambliaitinfection