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Extra-intestinal and long term consequences of Giardia duodenalis infections

查看全文 作  者:Marie CM [1,2,3]Halliez;André G [1]Buret 高影响力作者 机构地区:[1]Department of Biological Sciences,Inflammation Research Network,University of Calgary,Calgary,Alberta,AB T2N 1N4,Canada;[2]Parasitology Department,Rouen University Hospital & EA 3800;[3]Institute for Biomedical & Research,University of Rouen,Rouen,76183,France高影响力机构 出  处:《World Journal of Gastroenterology》索引2013年第19卷第47期,共12页高影响力期刊 基  金:Supported by Grants from the Natural Sciences and Engineering Research Council of Canada(individual operating and CREATE),the France-Canada Research Fund;the'Ministère de l’enseignement supérieur et de la recherche',French Ministry of Secondary Education and Research 摘  要:Giardiasis is the most common waterborne parasitic infection of the human intestine worldwide.The etiological agent,Giardia duodenalis(syn.G.intestinalis,G.lamblia),is a flagellated,binucleated protozoan parasite which infects a wide array of mammalian hosts.Human giardiasis is a true cosmopolitan pathogen,with highest prevalence in developing countries.Giardiasis can present with a broad range of clinical manifestations from asymptomatic,to acute or chronic diarrheal disease associated with abdominal pain and nausea.Most infections are self-limiting,although re-infection and chronic infection can occur.Recent evidence indicating that Giardia may cause chronic post-infectious gastrointestinal complications have made it a topic of intense research.The causes of the post-infectious clinical manifestations due to Giardia,even after complete elimination of the parasite,remain obscure.This review offers a state-of-the-art discussion on the long-term consequences of Giardia infections,from extra-intestinal manifestations,growth and cognitive deficiencies,to post-infectious irritable bowel syndrome.The discussion also sheds light on some of the novel mechanisms recently implicated in the production of these postinfectious manifestations. 关 键 词:GIARDIASIS Inflammatory disorders Extraintestinal MANIFESTATIONS of ENTERITIS Failure to thrive Post-infectious IRRITABLE bowel syndrome
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