Some Recurrent Abdominal Pains (RAP) in Kids are Missed Protozoan Infection

Some 6-11% of recurrent abdominal pains in children are protozoan infections. Those cases “did not show a characteristic presentation when compared with patients with other causes of abdominal pain” – so you can’t tell by looking at them.

J Pediatr Gastroenterol Nutr. 2013 Jun 17. [Epub ahead of print]
Protozoa as a Cause of Recurrent Abdominal Pain in Children.
Gijsbers CF, Schweizer JJ, Büller HA.

  • 220 cases – mean age of 8.8 –  in Netherlands


  • Looks like if you have 2 organisms much more likely to benefit
  • 73/220 = 1/3 of cases found “colonized” – 1/3 of those responded to meds
  • 25/220 = 11% had infection helped by meds

treatments included:
metronidazole 20 mg/kg/day for giardia and 30-50mg/kg/day for Df or BH – first line
otherwise tindazole two doses of 75 mg/kg 1 week apart
If Dientameba fragalis otherwise paromomycin 25-35 mg/kg/day for 7 days
for Blastocystis hominis otherwise co-trimoxazol 36 mg/kg/day

Comment – here, they accept one sample as adequate for determining protozoan infections. In study, they did 3 samples on separate days which makes more sense. goldengoosesolde goldengoosesolde

This entry was posted in Abdominal pain. Bookmark the permalink.

One Response to Some Recurrent Abdominal Pains (RAP) in Kids are Missed Protozoan Infection

  1. Pingback: Recurrent Abdominal Pain (RAP) in Children – More Than it Seems | Pain Medical Musing

Leave a Reply

Your email address will not be published.