A family case of giardiasis manifested as allergic urticaria in the joint practice of a family doctor and a pediatrician

To date, giardiasis remains an urgent disease in the practice of family doctors, internists and pediatricians. Family cases are quite common. If one case is detected family, it necessary to examine all members. Currently, relevant, especially pediatrics. The difficulty detecting children primarily due fact that its manifestations often disguised as various clinical variants gastroenterological pathology (functional disorders gastrointestinal tract, syndrome excessive growth microflora small intestine, malabsorption syndrome) occur with clinic allergic diseases recurrent urticaria, atopic dermatitis, forms food allergies others forms.
 article presents a familial giardiasis, which primary diagnosis child caused greatest by type severe urticaria presence possible allergens at home, led long two emergency hospitalizations childrens hospitals, where despite examination treatment, correct was not suspected timely. Differential first stages patient management carried out between infectious mononucleosis streptococcal infection, possibility considered. Difficulties appointment systemic glucocorticosteroids unjustified antibacterial therapy. Indirectly, prolonged untimely start treatment decrease motivation for patients parents distrust doctors.