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Giardiasis

Giardiasis (also known as beaver fever) is a disease caused by the flagellate protozoan Giardia lamblia (also Giardia intestinalis). The giardia organism inhabits the digestinal tract of a wide variety of domestic and wild animal species as well as humans. It is a common cause of gastroenteritis in humans, infecting approximately 200 million people worldwide. more...

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Giardiasis is passed via the fecal-oral route. Primary routes are personal contact and contaminated water and food. People who spend time in institutional or day-care environments are more susceptible, as are travelers and those who consume improperly treated water. It is a particular danger to people hiking or backpacking in wilderness areas worldwide. It is zoonotic -- communicable between animals and humans. Major reservoir hosts include beavers, dogs, cats, horses, and cattle.

Symptoms include loss of appetite, lethargy, diarrhea, loose or watery stool, stomach cramps, upset stomach, bloating and flatulence. Symptoms typically begin 1-2 weeks after infection and may wane and reappear cyclically. Symptoms are caused largely by the thick coating of Giardia organisms coating the inside of the small intestine and blocking nutrient absorption. Most people are asymptomatic; only about a third of infected people exhibit symptoms.

Antibiotics used to treat adults include metronidazole, albenzazole and quinacrine. Furazolidone and nitazoxanide may be used in children. Treatment is not always necessary, as the body can defeat the infection by itself.

Outside North America the drug Tinidazole trade name Fagisyn or Tindamax can treat Giardiasis in a single treatment of 2,000 mg. instead of the longer treatment of the other medications listed, with less distress due to the shorter treatment duration.

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Giardiasis
From Pediatrics for Parents, 4/1/89 by Thomas Ryan

GIARDIASIS Giardia, a small protozoan, was first described in 1674 by Anton van Leewenhock, the inventor of the microscope. This parasite has been recently in the news, and the role of pets in transmitting it to people has been questioned. Giardia infections are not limited to humans. Dogs, cats, and other animals are known to have Giardia in their intestines. What's not known is if the Giardia in animals can be transmitted to humans. Studies have tried to show that the strain of Giardia that infect humans can also infect dogs and cats. Unfortunately, the results have been inconsistent, so we don't really know the role of animals in the spread of human Giardia. Giardia infection is considered to be the third most common infection found in dogs. Birds are affected as well. Many commercial breeding aviaries (especially parakeets and cockatiels) are considered to be afflicted with Giardia. The Center for Disease Control reports that Giardia is the most common intestinal parasite in people in the United States with 3-4 percent of the population estimated to be infected at any one time. The signs of Giardia infection in dogs can vary from none to watery stools, weight loss, unhealthy looking coat and skin conditions. Diagnosis of Giardia infections in pets can be diagnosed by your veterinarian. The drug that is most commonly used is called metronidazole, the same drug used to treat people. "It should be emphasized," according to Dr. Jarvinen of the Department of Veterinary Pathology at Iowa State University, "that humans are at a much greater risk of contracting giardiasis from other humans than from animals, and a human source of infection should be sought before incriminating animals". If a family member, human or otherwise, has chronic problems with giardia infections, it may be wise to test family members of the other species.

COPYRIGHT 1989 Pediatrics for Parents, Inc.
COPYRIGHT 2004 Gale Group

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