Case report
Year : 2025 Month : April Volume : 14 Issue : 2 Page : MC01 - MC03 Full Version

Fetomaternal Complications by Giardiasis in Pregnant Female: A Case Report
Nidhi S Patel, Gaurav Chotaliya
1. Senior Resident, Department of Microbiology, GMERS MORBI, Gujarat, India. 2. Resident Doctor, Department of Microbiology, M.P. Shah Medical Collge, Jamnagar, Gujarat, India.
 
Correspondence Address :
Nidhi S Patel, Gaurav Chotaliya,
Gaurav Chotaliya,
Plot-65, Junction Co Op Housing Society, Near Gaureshwar Temple, Street-4,
Rajkot-360001, Gujarat, India.
E-mail: gauravchotaliya123@gmail.com
 
ABSTRACT
: Among the World Health Organisation’s (WHO) neglected parasitic diseases, giardiasis caused by Giardia lamblia is significant due to its morbidity and mortality, in the form of diarrhoea and malabsorption, affecting children, adults and travelers. Since it is transmitted by contaminated water and food, with minimum infective dose of just 10 cysts, burden is greater in developing countries. In present case report, a 30-year-old pregnant female suffering from prolonged diarrhoea presented to the Emergency Department in shock. Stool culture revealed no significant pathogens; however, a wet mount preparation showed motile trophozoites with a falling leaflike motion, leading to a diagnosed as case of chronic giardiasis. This condition resulted in massive fluid loss and oligohydramnios, ultimately causing Intrauterine Foetal Death (IUFD). The patient was treated with tinidazole given as primary treatment with correction of hypovolemia and shock. Patient was referred to higher centre for IUFD management. Since most reports of this infection focus on children, this case report of an adult pregnant female highlights the necessity of screening diarrhoea patients, especially pregnant females, through stool routine microscopy as rapid method for diagnosing such parasitic infections in order to prevent complications.
Keywords : Giardia lamblia, Intrauterine foetal death, Neglected parasitic diseases, Wet mount microscopy
DOI and Others : DOI: 10.7860/NJLM/2025/75703.2907 Date of Submission: Sep 19, 2024 Date of Peer Review: Nov 18, 2024 Date of Acceptance: Feb 06, 2025 Date of Publishing: Apr 01, 2025 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Sep 24, 2024 • Manual Googling: Jan 30, 2025 • iThenticate Software: Feb 05, 2025 (4%) ETYMOLOGY: Author Origin EMENDATIONS: 6
 
TABLES AND FIGURES