Abstract

A case report of a healthy, immunocompetent male,an international traveller from Germany who had visited India for a short trip,presented at our OPD with a history of loose stools, fever and abdominal pain,for two months. After thorough investigations, he was diagnosed to have an infection withGiardia lambliaacute gastroenteritis (AGE) along witheosinophilic ascites with peripheral eosinophilia, withassociatedPlesiomonasshigelloidesdiarrhoea. He was then treated with metronidazole and cotrimoxazole, which resulted in complete resolution of the symptoms.

Highlights

  • Giardia lamblia is an intestinal parasite that causes about 280 million infections per year in Africa, Asia, and America, according to the World Health Organization (1)

  • Eosinophilic infiltration is commonly associated with gastrointestinal ailments such as allergic disorders, inflammatory bowel disease, eosinophilic gastroenteritis, and helminthic or protozoan infections

  • The association amongst G. lamblia infection and this phenomenon have not been clarified. It can be linked with dense eosinophilic infiltration of the jejunum but lacking peripheral eosinophilia (5)

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Summary

Introduction

Giardia lamblia is an intestinal parasite that causes about 280 million infections per year in Africa, Asia, and America, according to the World Health Organization (1). Eosinophilic ascites is a rare complication of parasitic infections that is rarely seen in clinical practice. We present an unusual case of G. lamblia causing eosinophilic ascites along with P. shigelloides gastroenteritis. A 25-year-old HIV negative, previously healthy male, an international traveler from Germany who had visited India for a short trip, presented to Kasturba Hospital, Manipal with two months history of recurrent loose stools, fever and abdominal pain.

Results
Conclusion
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