A Case of Colitis by Giardia lamblia Infection with Atypical Presentation / 대한내과학회지
Korean Journal of Medicine
;
: 312-316, 2015.
Article
in Korean
| WPRIM
| ID: wpr-52499
ABSTRACT
Giardia lamblia infection, giardiasis, is the leading waterborne diarrhea-causing disease. It is common in most countries of the world, including South Korea and Japan. Giardia lamblia can cause asymptomatic infection but also acute abdominal discomfort with diarrhea. In addition, it may lead to chronic diarrhea associated with villous atrophy and impaired epithelial barrier in the small intestine. In the present case, a 45-year-old woman presented with lower abdominal discomfort in the absence of diarrhea. Colonoscopy showed diffuse mucosal edema, erythema, and erosions with exudate in the cecum and ascending colon. Colonoscopic biopsy and stool examination revealed trophozoites of Giardia lamblia. Colitis resolved after metronidazole therapy. Our case suggests that giardiasis should be included in the differential diagnosis of colitis, even if the patient does not present with diarrhea.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Atrophy
/
Biopsy
/
Cecum
/
Colonoscopy
/
Giardiasis
/
Giardia lamblia
/
Colitis
/
Colon, Ascending
/
Diagnosis, Differential
/
Diarrhea
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2015
Type:
Article
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