Castro M, Sánchez Porto A, Guillén P, Martín E, Guerrero P, Vargas J
Enferm Infecc Microbiol Clin. 1989 Feb;7(2):100-2.
We report three adult patients with gastrectomy who had malabsorption caused by Giardia lamblia. Type II gastrectomy had been carried out in the three patients several years before, and the clinical presentation was similar: chronic diarrhea with malabsorption. A remarkable fact was that the search for parasites in feces was repeatedly negative in two patients, the protozoon being identified in the intestinal biopsy samples. In the third case, the diagnosis was made by the visualization of Giardia cysts in the feces.
我们报告了3例胃切除术后因蓝氏贾第鞭毛虫导致吸收不良的成年患者。这3例患者均在数年前接受了II型胃切除术，临床表现相似：慢性腹泻伴吸收不良。一个值得注意的事实是，其中2例患者粪便中反复未检测到寄生虫，而在肠道活检样本中发现了这种原生动物。在第3例中，通过粪便中贾第虫囊肿的镜检确诊。
