Giardiasis is an unusual cause of symptoms in this country in anyone who has not travelled abroad. Symptoms may be vague and the diagnosis unclear until the protozoan is discovered. We report an unusual case of anaemia with an unusual history and a satisfactory outcome following intensive investigation.
HareCA. Handbook of medical protozoology.London: Ballière, Tindall and Cox, 1949; 15–34
2.
BarnesGLKayR.Blood groups in giardiasis. Lancet1977; i: 808
3.
PaulsenO.Blood group A and gardiasis. Lancet1977; ii: 984
4.
ArissiMMJokipiMHJokipiL.Prospective study of acquisition of Cryptosporidium and Giardia lamblia and gastrointestinal illness. Lancet1985; ii: 487–9
5.
KyronseppaHPetersonT.The occurrence of human intestinal parasites in Finland. Scand J Infect Dis1976; 8: 199–202
6.
AroraRRBiswasHMathurKK. Prevalence of intestinal parasites in a rural community in Jammu and Kashmir. J Commun Dis1976; 8: 302–6
7.
AntiaFPDesaiHG. Jeejeethoy KN, Kane MP, Borkar AV. Giardiasis in adults: Incidence, symptomatology and absorption studies. Ind J Med Sci1966; 20: 471–7
8.
BurkeJA. Giardiasis in childhood. Am J Dis Child1975; 129: 1304–10
9.
JephcottAEBeggNCBakerIA. Outbreaks of giardiasis associated with mains water in the UK. Lancet1975; i: 730–1
BrandborgLLTankersleyCBGottliebS. Histological demonstration of mucosal invasion by Giardia lamblia in man. Gastroenterology1967; 62: 143–50
12.
UpadhyayPGangulyNKMahajanRCWaliaBNS. Intestinal uptake of nutrients in normal and malnourished animals infected with giardia lamblia. Digestion1985; 32: 243–8
13.
BouchierIAD. Textbook of gastroenterologyLondon, Ballière, Tindall, and Cox, 1984; 1048–52
14.
JawetzEMelnickJLAdelbergEA. Review of medical microbiology.California: Lange Medical, 1987
15.
GobaAKJRolstonDDKMathanVIFarthingMJG. Diagnosis of giardiasis by specific IgM antibody enzyme linked immunoabsorbent assay. Lancet1986; ii: 184–6
16.
GazderAJBannerjeeM.Single dose treatment of giardiasis in children: A comparison of tinidazole and metronidazole. Curr Med Res Opin1977; 5: 164–8
17.
BuckleyA.Severe megaloblastic anaemia due to giardiasisBr Med J1986; 292: 992