Tropical Parasitology

DISPATCHES
Year
: 2017  |  Volume : 7  |  Issue : 2  |  Page : 125--127

Giardiasis mimicking celiac disease in a patient of common variable immunodeficiency


Kumar Saurabh1, Vijaya Lakshmi Nag1, Daisy Khera2, Poonam Elhence3 
1 Department of Microbiology, All Institute of Medical Sciences, Jodhpur, Rajasthan, India
2 Department of Paediatrics, All Institute of Medical Sciences, Jodhpur, Rajasthan, India
3 Department of Pathology, All Institute of Medical Sciences, Jodhpur, Rajasthan, India

Correspondence Address:
Vijaya Lakshmi Nag
All India Institute of Medical Sciences, Jodhpur, Rajasthan
India

An adolescent boy presented to pediatrics outpatient department with complaints of recurrent diarrhea, nausea, vomiting, and pedal edema since 3–4 months, with no relief even after taking treatment. His investigation revealed decreased serum IgA, IgG, and IgM levels with hypoproteinemia. Duodenal biopsy showed features of celiac disease (CD), but tissue transglutaminase IgA was negative. In stool examination, plenty of Giardia lamblia cysts and eggs of Hymenolepis nana were present. He improved on treatment and remained asymptomatic for 4 months. However, he again developed symptoms and succumbed to his illness. In patients of common variable immunodeficiency (CVID), who present with features of CD, coinfection, especially with G. lamblia and other parasites must always be kept in mind. The aim is to report a case of recurrent giardiasis with CVID mimicking CD from Western Rajasthan, India.


How to cite this article:
Saurabh K, Nag VL, Khera D, Elhence P. Giardiasis mimicking celiac disease in a patient of common variable immunodeficiency.Trop Parasitol 2017;7:125-127


How to cite this URL:
Saurabh K, Nag VL, Khera D, Elhence P. Giardiasis mimicking celiac disease in a patient of common variable immunodeficiency. Trop Parasitol [serial online] 2017 [cited 2020 Jul 13 ];7:125-127
Available from: http://www.tropicalparasitology.org/article.asp?issn=2229-5070;year=2017;volume=7;issue=2;spage=125;epage=127;aulast=Saurabh;type=0