Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Double Infection with Giardia lamblia and Salmonella paratyphi A Associated with Acute Renal Failure
Yoshiaki NAKAYASatomi SHIOTAKyoichi SAKAMOTOAkihiko IWASEShigeyuki AOKIRokuro MATSUOKAYo TEIYasusei OKADAYasushi MIYAKE
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1998 Volume 37 Issue 5 Pages 489-492

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Abstract

While traveling in India, a previously healthy twenty-year-old man had febrile diarrhea. The patient was prescribed medical therapy, and all symptoms were 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. Salmonella paratyphi A 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)

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