Emerging Infectious Diseases (Oct 2014)

Treatment of Giardiasis after Nonresponse to Nitroimidazole

  • Eli Schwartz,
  • Tamar Lachish,
  • Eyal Meltzer

DOI
https://doi.org/10.3201/eid2010.140073
Journal volume & issue
Vol. 20, no. 10
pp. 1738 – 1740

Abstract

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During January 2008–October 2013, a total of 12 cases of giardiasis at the Chaim Sheba and Shaare Zedek Medical Centers, Israel, did not respond to nitroimidazole; 83.3% were associated with travel and 33% with immunoglobulin deficiency. Among 110 published cases, the most effective treatment was quinacrine (efficacy 90%–100%), but its availability is limited.

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