Affects of the gastrointestinal tract in children invaded by lamblies according to the results of ultrasound research

Abstract

An ultrasound examination has shown that on average 22 (29,7±5,3) of 74 children, infected by Giardia, have a lesion of the gastrointestinal tract manifested as reactive alterations of the pancreas. Clinical symptoms of 20 children (about 27%) revealed in the form of complaints of abdominal pain, 9 (12%) – in form of decreasing appetite and 9 children have allergenic reaction revealed on skin in different intensively, 8 children (10,8±3,6%) – in form of sleep disorder, 5 (6,8±2,9%) – in form of loose stools, 4 (5,4±2,6%) children felt sick, 1 child – vomit and the last one (1,4±1,4%) – in form increase temperature until subfibril indicators. Besides alteration in the pancreas, 6 (8,1±3,2%) children revealed reactive changes of the liver. The signs of dyskinesia of biliary tract were shown on 12 (16,2±4,3%) children. Among the combined lesions of the gastrointestinal tract, 16 (21,6±4,8%) children had reactive changes simultaneously from the side of the liver and pancreas. Moreover, 10 (13,5±4%) children were shown several combined reactive alteration in the liver, the pancreas and the sings of dyskinesia of biliary tract at the same time. In 6 (8,1±3,2%) cases combined alterations in liver and dyskinesia of biliary. The research has established, that in 44 (almost 60%) cases children did not follow personal hygiene rules. Contact with pets took a place in 30 cases (40,5±5,7%). Geo- and oligophagy were observed in 16 (21,6±4,8%) and 15 (20,3±4,7%) cases, respectively. Thus, the most frequent manifestations of giardiasis were reactive changes in the pancreas. The main causes of the disease of children of different age groups were not compliance with personal hygiene, contact with animals, as well as geo- and onychophagy. The presence of clinical symptoms: abdominal pain, nausea, vomiting, loose stool, fever to subfebrile degrees indicate an acute course of giardiasis in children.

Keywords

parasitic diseases / helminthiasis / giardiasis / reactive changes in the liver / pancreas / biliary dyskinesia / onychophagy / geophagia

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RIGHTS & PERMISSIONS

Arakelyan R.S., Okunskaya E.I., Sergeeva N.A., Galimzyanov H.M., Konnova O.V., Pustokhaylov I.V., Obukhova A.A.