Российский паразитологический журнал (Oct 2019)
Parasitic lesions of the gastrointestinal tract in children caused infestation giardia
Abstract
Purpose of the study. To characterize lesions of the gastrointestinal tract in children, caused by parasitism in the body lamblia based on the analysis of case histories based on helminthological center GBUZ of “Children’s city polyclinic № 3». Materials and methods. We analyzed the medical records of 95 children treated with the diagnosis of “Giardiasis” in 2016 in GBUZ of “Children’s city polyclinic № 3”. Clinically, giardiasis proceeded with the defeat of the gastrointestinal tract and lymphatic system. Thus, according to US data, 41.1% of children showed no pathological changes in the organs of the abdominal cavity. Reactive changes in the liver were observed in 20%, and reactive changes of the pancreas - 40%. Mezadenita phenomena were observed in 8.4% of patients, splenomegaly - at 6.3%, poliadenopatiya - 4.2%, and signs DZHVP - 20%. Results of the study. All patients complained of: abdominal pain - 44.7%, gnashing their teeth at night - 27.6%, decreased appetite and diarrhea - 18.4%, nausea - 13.2%, allergic reactions of varying intensity - 16 2% vomiting - 7.9%; In rare cases, children complained of a slight increase in temperature to subfebrile and hair loss - by 2.7%; in 11.8% of cases in children no complaints. From the liver, all the children were observed following complaints: abdominal pain - 42.1%, diarrhea and gnashing of teeth at night - by 26.3%, decreased appetite - 21.1%, nausea and allergic rashes on the skin - on 15.8%, vomiting - 10.5%. In 15.8% of children were no complaints. Reactive changes in the pancreas were observed in 50% of cases, when all the children complained of: abdominal pain -50%, friction and grinding of teeth at night - 31.6%, allergic reactions in the form of a rash on the skin of varying intensity - 28, 9%, decreased appetite - 23.7%, diarrhea - 21.1%, nausea - 13.7%, vomiting - 7.9% and a slight increase in the temperature of - 2.6%. In 4 cases (23.5%) - complaints of children missing. In addition to reactive changes of the liver and pancreas, some children (25%) according to the results of ultrasound showed signs of biliary dyskinesia (DZHVP). For all sick children complained of abdominal pain of varying degrees of intensity and allergic rashes on the skin - by 36.8%. In rare cases, they have been complaints of teeth grinding at night - 21.1%, diarrhea - 15.8%, and nausea and hair loss - by 10.5%. In rare cases, patients reported vomiting, loss of appetite and fever - by 5.3%. In 10.5% of complaints in children missing. Conclusions. Thus, the most frequent complaints of children were abdominal pain, allergic reaction in the skin, rattle and creak of teeth at night and loose stools. Most often observed in children sochetannye reactive changes of the liver and pancreas. Giardiasis often registered in preschool children. The diagnosis in all cases was established on the basis of koproovoskopicheskogo research - detection lamblia cysts in feces.
