Double Infection with Giardia lamblia and Salmonella paratyphi A Associated with Acute Renal Failure.

Abstract

While traveling in India, a previously healthy twenty-year-old man had febrile diarrhea. The patient was prescribed medical therapy, and all symptomswere resolved. Fourteen days later, however, similar symptoms recurred. The patient was admitted to a local hospital, but was transferred to our department because of oliguria. SalmonellaparatyphiA was isolated from blood and stool specimens, and Giardia lamblia was identified in his stool. The patient's condition was complicated by acute renal failure. The patient received tosufloxacin and metronidazole. Renal function recovered completely without hemodialysis. Paratyphoid fever and giardiasis were resolved. It is suggested that giardiasis exacerbated the paratyphoid fever. (Internal Medicine 37: 489-492, 1998)

Severe Acute Kidney Injury Associated with Giardia lamblia Infection

“…Acute kidney injury due to severe diarrhea caused by Giardia is very rare; we were able to find only one case of coinfection with Salmonella paratyphi A. 4 However, there have been reports of infection-related interstitial nephritis. 5 If the patient does not respond to hydration therapy, a renal biopsy should be considered.…”

A patient with typhoid fever, Giardia lamblia gastroenteritis and hepatitis E

“…Surprisingly, there are several case reports of co-infections in tropical areas involving salmonella paratyphi with Giardia lamblia 7 or hepatitis A with underlying chronic hepatitis B. 8 In fact, co-infection is common in endemic areas.…”

A case of acute hemorrhagic cystitis caused by Salmonella paratyphi A in a pediatric patient

“…hemoglobin miktarı 12,9 g/dL, eritrosit sayısı 4,8 milyon/ mm 3 , lökosit sayısı 11.800/mm 3 , trombosit sayısı 275.000/ mm 3 , C-reaktif protein düzeyi 30,2 mg/L, serolojik olarak paratyphi A "O" antikoru (1/160) ve paratyphi A "H" antikoru (1/320) pozitifliğinin bulunduğu belirlenmiştir.…”