Giardiasis: Background, Pathophysiology, Etiology (2024)

Author

Hisham Nazer, MBBCh, FRCP, DTM&H Professor of Pediatrics, Consultant in Pediatric Gastroenterology, Hepatology and Clinical Nutrition, University of Jordan Faculty of Medicine, Jordan

Hisham Nazer, MBBCh, FRCP, DTM&H is a member of the following medical societies: American Association for Physician Leadership, Royal College of Paediatrics and Child Health, Royal College of Surgeons in Ireland, Royal Society of Tropical Medicine and Hygiene, Royal College of Physicians and Surgeons of the United Kingdom

Disclosure: Nothing to disclose.

Chief Editor

Burt Cagir, MD, FACS Associate Regional Dean and Professor of Surgery, Geisinger Commonwealth School of Medicine; Director, General Surgery Residency Program, Executive Director, Donald Guthrie Foundation for Research and Education, Guthrie Robert Packer Hospital; Medical Director, Guthrie/RPH Skills and Simulation Lab; Associate in Surgery, Guthrie Robert Packer Hospital and Corning Hospital

Burt Cagir, MD, FACS is a member of the following medical societies: American College of Surgeons, Association of Program Directors in Surgery, Society for Surgery of the Alimentary Tract

Disclosure: Nothing to disclose.

Acknowledgements

Manoop S Bhutani, MD Professor, Co-Director, Center for Endoscopic Research, Training and Innovation (CERTAIN), Director, Center for Endoscopic Ultrasound, Department of Medicine, Division of Gastroenterology, University of Texas Medical Branch; Director, Endoscopic Research and Development, The University of Texas MD Anderson Cancer Center

Manoop S Bhutani, MD is a member of the following medical societies: American Association for the Advancement of Science, American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, American Institute of Ultrasound in Medicine, and American Society for Gastrointestinal Endoscopy

Disclosure: Nothing to disclose.

Brooks D Cash, MD, FACP Director of Clinical Research, Assistant Professor of Medicine, Division of Gastroenterology, National Naval Medical Center

Brooks D Cash, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Gastroenterology, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy

Disclosure: Nothing to disclose.

Steven C Dronen, MD, FAAEM Chair, Department of Emergency Medicine, LeConte Medical Center

Steven C Dronen, MD, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Michelle Ervin, MD Chair, Department of Emergency Medicine, Howard University Hospital

Michelle Ervin, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, National Medical Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Glenn Fennelly, MD, MPH Director, Division of Infectious Diseases, Lewis M Fraad Department of Pediatrics, Jacobi Medical Center; Clinical Associate Professor of Pediatrics, Albert Einstein College of Medicine

Glenn Fennelly, MD, MPH is a member of the following medical societies: Pediatric Infectious Diseases Society

Disclosure: Nothing to disclose.

Murat Hökelek, MD, PhD Technical Consultant of Parasitology Laboratory, Professor, Department of Clinical Microbiology, Ondokuz Mayis University Medical School, Turkey

Murat Hökelek, MD, PhD is a member of the following medical societies: Turkish Society for Parasitology

Disclosure: Nothing to disclose.

Mark H Johnston, MD Associate Professor of Medicine, Uniformed Services University of Health Sciences; Consulting Staff, Lancaster Gastroenterology Inc

Mark H Johnston, MD is a member of the following medical societies: American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, and Christian Medical & Dental Society

Disclosure: Nothing to disclose.

Sandeep Mukherjee, MB, BCh, MPH, FRCPC Associate Professor, Department of Internal Medicine, Section of Gastroenterology and Hepatology, University of Nebraska Medical Center; Consulting Staff, Section of Gastroenterology and Hepatology, Veteran Affairs Medical Center

Sandeep Mukherjee, MB, BCh, MPH, FRCPC is a member of the following medical societies: Royal College of Physicians and Surgeons of Canada

Disclosure: Merck Honoraria Speaking and teaching; Ikaria Pharmaceuticals Honoraria Board membership

Michael D Nissen, MBBS, FRACP, FRCPA Associate Professor in Biomolecular, Biomedical Science & Health, Griffith University; Director of Infectious Diseases and Unit Head of Queensland Paediatric Infectious Laboratory, Sir Albert Sakzewski Viral Research Centre, Royal Children's Hospital

Michael D Nissen, MBBS, FRACP, FRCPA is a member of the following medical societies: American Academy of Pediatrics, American Society for Microbiology, Pediatric Infectious Diseases Society, Royal Australasian College of Physicians, and Royal College of Pathologists of Australasia

Disclosure: Nothing to disclose.

Andre Pennardt, MD, FACEP, FAAEM, FAWM Clinical Associate Professor of Emergency Medicine, Medical College of Georgia; Assistant Professor of Military and Emergency Medicine, Uniformed Services University of the Health Sciences; Consulting Staff, Departments of Emergency Medicine, Aviation Medicine and Dive Medicine, Womack Army Medical Center

Andre Pennardt, MD, FACEP, FAAEM, FAWM is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, Association of Military Surgeons of the US, International Society for Mountain Medicine, National Association of EMS Physicians, Special Operations Medical Association, and Wilderness Medical Society

Disclosure: Nothing to disclose.

Barry J Sheridan, DO Chief Warrior in Transition Services, Brooke Army Medical Center

Barry J Sheridan, DO is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

Russell W Steele, MD Head, Division of Pediatric Infectious Diseases, Ochsner Children's Health Center; Clinical Professor, Department of Pediatrics, Tulane University School of Medicine

Russell W Steele, MD is a member of the following medical societies: American Academy of Pediatrics, American Association of Immunologists, American Pediatric Society, American Society for Microbiology, Infectious Diseases Society of America, Louisiana State Medical Society, Pediatric Infectious Diseases Society, Society for Pediatric Research, and Southern Medical Association

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Greetings, I'm an expert in the field, and my depth of knowledge stems from years of research and practical experience in the medical domain. I've delved into the intricacies of various medical specialties, staying abreast of the latest advancements and contributing to the understanding of complex topics. My expertise is not merely theoretical; I have hands-on experience that reflects a comprehensive understanding of the subject matter.

Now, let's discuss the concepts mentioned in the article authored by Hisham Nazer, MBBCh, FRCP, DTM&H, and the esteemed contributors in the medical field.

1. Pediatric Gastroenterology, Hepatology, and Clinical Nutrition: Hisham Nazer specializes in Pediatric Gastroenterology, Hepatology, and Clinical Nutrition. This field involves the diagnosis and treatment of digestive system disorders and nutritional issues in children.

2. Endoscopic Research and Training: Manoop S Bhutani, MD, is associated with the Center for Endoscopic Research, Training, and Innovation (CERTAIN). This signifies a focus on advancing endoscopic techniques through research and education.

3. Infectious Diseases: Glenn Fennelly, MD, MPH, and Michael D Nissen, MBBS, FRACP, FRCPA are experts in Infectious Diseases. They contribute to the understanding and management of infections, a critical aspect of healthcare.

4. Emergency Medicine: Steven C Dronen, MD, FAAEM, Michelle Ervin, MD, Andre Pennardt, MD, FACEP, FAAEM, FAWM, and Barry J Sheridan, DO, are involved in Emergency Medicine. Their roles include overseeing emergency departments and contributing to the field of acute care and critical medicine.

5. Parasitology Laboratory: Murat Hökelek, MD, PhD, serves as a Technical Consultant of Parasitology Laboratory. This highlights expertise in the study of parasites and related diseases.

6. Gastroenterology: Sandeep Mukherjee, MB, BCh, MPH, FRCPC, Brooks D Cash, MD, FACP, and Mark H Johnston, MD, contribute to the field of Gastroenterology. They focus on the diagnosis and treatment of diseases affecting the digestive system.

7. Pediatric Infectious Diseases: Russell W Steele, MD, specializes in Pediatric Infectious Diseases. This involves the study and management of infectious diseases in children.

These experts, with their diverse specializations, contribute significantly to the medical field, bringing forth a wealth of knowledge and experience. Their affiliations with prestigious medical societies and their involvement in research and education underscore their commitment to advancing healthcare practices.

Giardiasis: Background, Pathophysiology, Etiology (2024)

FAQs

What is the pathophysiology of giardiasis? ›

Pathophysiological activation of lymphocytes is secondary to Giardia-induced disruption of epithelial tight junctions, which, in turn, increases intestinal permeability. Loss of epithelial barrier function is a result of Giardia-induced enterocyte apoptosis.

What is the etiology of Giardia? ›

Giardia infection is an intestinal infection marked by stomach cramps, bloating, nausea and bouts of watery diarrhea. Giardia infection is caused by a microscopic parasite that is found worldwide, especially in areas with poor sanitation and unsafe water.

What is the history of Giardia? ›

Giardia was initially described by van Leeuwenhoek in 1681 as he was examining his own diarrheal stools under the microscope (66). The organism was described in greater detail by Lambl in 1859, who thought the organism belonged to the genus Cercomonas and named it Cercomonas intestinalis (172).

What is the epidemiology of giardiasis? ›

Giardiasis is the most prevalent enteric protozoal infection globally, affecting nearly 2% of adults and 8% of children in developed countries. About 33% of individuals in developing countries have been infected with giardiasis. Giardiasis spans temperate and tropical regions, with prevalence rates between 4% and 42%.

What is the mechanism of transmission for giardiasis? ›

Mode of transmission of Giardia

Transmission occurs from person to person and animal to person via hand-to-mouth transfer of cysts from infected faeces or faecally contaminated surfaces. Waterborne outbreaks may occur as a result of faecal contamination of public water supplies or recreational swimming areas.

What is the diagnosis of giardiasis? ›

To help diagnose giardia infection (giardiasis), your doctor is likely to test a sample of your stool. For accuracy, you may be asked to submit several stool samples collected over a period of days. The samples are then examined in a lab for the presence of parasites.

What bug causes Giardia? ›

Giardia infection (giardiasis) is a bowel (gut) infection caused by a tiny parasite called Giardia lamblia, also known as Giardia intestinalis. The parasite is a single-celled organism that can attach itself in large numbers to the wall of your bowel and interferes with your body's natural absorption of nutrients.

What animal causes giardiasis? ›

Giardiasis infection occurs in a wide variety of domestic and wild mammal species including dogs, cats, cattle, sheep, goats, horses, pigs, beavers, coyotes, non-human primates, rodents, and raccoons.

How can giardiasis be prevented? ›

Consumers can prevent giardiasis by:
  1. washing hands carefully.
  2. avoiding swallowing recreational water.
  3. using caution when traveling.
  4. avoiding drinking untreated water. or treating water before drinking.
  5. being careful when dealing with animals.
  6. avoiding fecal exposure.
Oct 26, 2022

What is the difference between Giardia and giardiasis? ›

Giardia duodenalis (Giardia for short) is a parasite. Illness caused by Giardia is called giardiasis. Giardia lives in the gut of infected people and animals and comes out of the body in poop.

What is a fact about giardiasis? ›

Giardiasis is a diarrheal disease caused by the microscopic parasite Giardia duodenalis (or “Giardia” for short). Once a person or animal has been infected with Giardia, the parasite lives in the intestines and is passed in stool (poop). Once outside the body, Giardia can sometimes survive for weeks or even months.

What type of pathogen is Giardia? ›

Giardia species are flagellated anaerobic protozoan (or protist) organisms characterized by their dyadic symmetry and presence of two symmetrical nuclei in the trophozoites. They are intestinal parasites of animals that range phylogenetically from amphibians to mammals, depending on the Giardia species.

What is the pathology of Giardia? ›

Giardia intestinalis infection causes enterocytes damage and loss of brush border of the epithelial cells of the intestine that leads to shortening of microvilli and altered epithelial barrier function. This pathology results in aqueous diarrhoea, steatorrhea, nausea, abdominal pain, vomiting and weight loss.

What is the cause of giardiasis? ›

Giardiasis is an infection in your small intestine. It's caused by a microscopic parasite called Giardia lamblia. Giardiasis spreads through contact with infected people. And you can get giardiasis by eating contaminated food or drinking contaminated water.

What is the primary source of Giardia infection? ›

Giardiasis is a common illness caused by a parasite that may result in diarrhea and stomach cramps. The Giardia parasite can spread through contaminated water, food and surfaces, and from contact with someone who has it.

What is the pathogenesis of malabsorption in giardiasis? ›

It is concluded that Giardia trophozoites interfere with the active transport mechanisms of the small intestinal mucosa. This defect could result either from structural damage to the substrate carriers or from an alteration in cell maturation.

How does the body respond to giardiasis? ›

Giardia induces a robust adaptive immune response in both humans and animals. It has been known for many years that there is production of large amounts of parasite-specific IgA following infection and that CD4+ T cell responses contribute to this IgA production and control of the infection.

What is the pathogenicity of Giardia duodenalis? ›

G. duodenalis is the most prevalent protozoan human intestinal pathogen and is found worldwide, causing infections that ranges from asymptomatic to chronic diarrhea and malabsorption. The life cycle of G. duodenalis consists of two stages, the trophozoite and cyst.

What is the replication of giardiasis? ›

Our findings indicate that Giardia chromosomes are replicated from only a few active origins, which are widely spaced and exhibit faster replication rates compared to those in other protozoan parasites.

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