Клинический разбор в общей медицине (Jun 2024)

Eradication of H. pylori in a patient with giardiasis: a clinical case

  • Natalya N. Dekhnich,
  • Margarita D. Kozlova

DOI
https://doi.org/10.47407/kr2024.5.6.00429
Journal volume & issue
Vol. 5, no. 6
pp. 18 – 20

Abstract

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The article presents a clinical case of the treatment of H. pylori infection and giardiasis in a 27-year-old female patient who had been suffering from spastic pain in the epigastrium, umbilical region, nausea and severity in the epigastrium after eating, decreased appetite, unstable stools for three years. An eradication regimen was prescribed with nifuratel, which has indications for the treatment of H. pylori infection and giardiasis in the instructions for use. The following drugs were recommended to the patient for 14 days: esomeprazole 20 mg 2 times a day 30 minutes before meals + nifuratel 400 mg 2 times a day after meals + аmoxicillin 1000 mg 2 times a day 15 minutes after taking nifuratel + bismuth tricalium dicitrate 240 mg 2 times 60 minutes before meals. Negative results of three-fold analysis of feces for giardia and feces for H. pylori antigen by ELISA confirmed the patient's convalescence, which proved the effectiveness of this treatment regimen.

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