{"id":131,"date":"2025-08-01T21:54:07","date_gmt":"2025-08-01T21:54:07","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=131"},"modified":"2025-08-02T21:32:52","modified_gmt":"2025-08-02T21:32:52","slug":"giardia-lamblia-ou-giardia-intestinalis","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/infections-sexuellement-transmissibles-ist-dorigine-parasitaire\/giardia-lamblia-ou-giardia-intestinalis\/","title":{"rendered":"\ud83e\uddeb Giardia lamblia (ou Giardia intestinalis)"},"content":{"rendered":"\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<p><em>Parasite protozoaire \u00e0 transmission oro-f\u00e9cale, parfois sexuelle<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccc <strong>Qu\u2019est-ce que Giardia lamblia ?<\/strong><\/h3>\n\n\n\n<p><em>Giardia lamblia<\/em> est un <strong>protozoaire flagell\u00e9<\/strong> responsable de la <strong>giardiase<\/strong>, une infection intestinale b\u00e9nigne mais g\u00eanante, caract\u00e9ris\u00e9e par des <strong>troubles digestifs chroniques<\/strong>.<br>Elle se transmet principalement par <strong>voie oro-f\u00e9cale<\/strong>, y compris lors de <strong>pratiques sexuelles oro-anales<\/strong>, notamment chez les <strong>hommes ayant des rapports sexuels avec des hommes (HSH)<\/strong>.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>C\u2019est l\u2019une des causes les plus fr\u00e9quentes de <strong>diarrh\u00e9e chronique<\/strong> dans les pays tropicaux et en contexte communautaire ou sexuel.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd2c <strong>Modes de transmission<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ingestion de kystes dans :\n<ul class=\"wp-block-list\">\n<li>Eau ou aliments souill\u00e9s<\/li>\n\n\n\n<li>Par les mains contamin\u00e9es<\/li>\n\n\n\n<li><strong>Rapports oro-anaux ou anaux-digito-buccaux<\/strong><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Tr\u00e8s contagieuse \u00e0 faible dose infectieuse<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f <strong>Manifestations cliniques<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">\ud83e\udeb1 Forme aigu\u00eb :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diarrh\u00e9e aqueuse, parfois mousseuse<\/li>\n\n\n\n<li>Ballonnements, \u00e9ructations sulfur\u00e9es<\/li>\n\n\n\n<li>Crampes abdominales<\/li>\n\n\n\n<li>Malabsorption mod\u00e9r\u00e9e<\/li>\n\n\n\n<li>Asth\u00e9nie<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">\ud83e\udeb1 Forme chronique :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diarrh\u00e9e intermittente<\/li>\n\n\n\n<li>Perte de poids, malnutrition (chez l\u2019enfant)<\/li>\n\n\n\n<li>Syndrome de malabsorption lipidique<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>L\u2019infection peut \u00eatre <strong>asymptomatique<\/strong>, notamment chez les porteurs chroniques.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea <strong>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Examen parasitologique des selles (EPS)<\/strong> sur 3 pr\u00e9l\u00e8vements<\/li>\n\n\n\n<li>Recherche de kystes ou trophozo\u00eftes<\/li>\n\n\n\n<li><strong>Test antig\u00e9nique<\/strong> ou <strong>PCR Giardia<\/strong> (plus sensible)<\/li>\n\n\n\n<li>Recherche syst\u00e9matique chez patients avec diarrh\u00e9e chronique, patients HSH, VIH+<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a <strong>Traitement<\/strong><\/h3>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Traitement simple, oral, efficace<\/p>\n<\/blockquote>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Antiparasitaires<\/li>\n<\/ul>\n\n\n\n<p>\u2705 Traitement du ou des partenaires<br>\ud83d\udca1 Probiotiques parfois utiles apr\u00e8s traitement<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udee1\ufe0f <strong>Pr\u00e9vention<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lavage rigoureux des mains<\/li>\n\n\n\n<li>Traitement de l\u2019eau (\u00e9bullition, filtres)<\/li>\n\n\n\n<li>Pr\u00e9servatif ou digue dentaire lors des pratiques oro-anales<\/li>\n\n\n\n<li>\u00c9viter les contacts bucco-anaux avec personnes diarrh\u00e9iques<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddd1\ud83c\udffd\u200d\u2695\ufe0f <strong>Prise en charge au cabinet du Dr Hadi HAKIM<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Interrogatoire cibl\u00e9 sur les troubles digestifs r\u00e9cidivants<\/li>\n\n\n\n<li>Diagnostic parasitologique complet<\/li>\n\n\n\n<li>Traitement antiparasitaire en une prise<\/li>\n\n\n\n<li>Pr\u00e9vention des r\u00e9cidives et prise en charge des partenaires<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcde <strong>D\u00e9pistage &amp; traitement de la giardiase \u2013 Discret et rapide<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp m\u00e9dical s\u00e9curis\u00e9<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Parasite protozoaire \u00e0 transmission oro-f\u00e9cale, parfois sexuelle \ud83d\udccc Qu\u2019est-ce que Giardia lamblia ? Giardia lamblia est un protozoaire flagell\u00e9 responsable de la giardiase, une infection intestinale b\u00e9nigne mais g\u00eanante, caract\u00e9ris\u00e9e par des troubles digestifs chroniques.Elle se transmet principalement par voie oro-f\u00e9cale, y compris lors de pratiques sexuelles oro-anales, notamment chez les hommes ayant des rapports [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":218,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-131","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/comments?post=131"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/131\/revisions"}],"predecessor-version":[{"id":132,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/131\/revisions\/132"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/218"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}