Infectious Disease Compendium

Giardia lamblia aka G. duodenalis and G. intestinalis

Microbiology

A flagellated (it has a flagella, it doesn't beat itself with a whip) protozoa.

Epidemiologic Risks

Water born, food born, and person to person. Many wild animals carry Giardia. Camp, drink the fresh water, get diarrhea. There are day care outbreaks. And swimming pools; kids use pools as a toilet (PubMed).

Syndromes

Watery diarrhea, often prolonged, with bloating, gas and malabsorption.

Treatment

Metronidazole for seven days.

Albendazole 400 mg/day for 5 days, was comparable metronidazole with fewer side effects (Ref).

In failures, quinacrine may work (PubMed).

Notes

As a small bowel pathogen, it can be hard to find once it passes to the rectum. It is the reason for O&P x 3.