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CFS 5 years after giardiasis: differential diagnoses, characteristics and natural course

Discussion in 'Latest ME/CFS Research' started by WillowJ, Feb 14, 2013.

  1. WillowJ

    WillowJ Senior Member

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    Chronic fatigue syndrome 5 years after giardiasis: differential diagnoses, characteristics and natural course

    Kristine Mørch, Kurt Hanevik, Ann C Rivenes, Jørn E Bødtker, Halvor Næss, Bjarte Stubhaug, Knut-Arne Wensaas, Guri Rortveit, Geir E Eide, Trygve Hausken and Nina Langeland

    BMC Gastroenterology 2013, 13:28 doi:10.1186/1471-230X-13-28
    Published: 12 February 2013



    The complete article is available as a provisional PDF. The fully formatted PDF and HTML versions are in production.
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  2. Little Bluestem

    Little Bluestem Senescent on the Illinois prairie, USA

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    If
    then I suspect it was just that - chronic fatigue, not Chronic Fatigue Syndrome. I have not heard of many people spontaneously getting better. But then, those people might not be online looking for ways to speed up their improvement.
  3. LaurelW

    LaurelW Senior Member

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    This really interests me, because I had giardiasis in '89, got mono in '90 and full-blown CFS in '94.
  4. biophile

    biophile Places I'd rather be.

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    Fatigue score at 3 years : "Recovered from fatigue" - Mean, range (SD): 18, 15–22 (1.86).

    Those fatigue scores are a little high to be normal? See this older post by Dolphin on normative data for CFQ:

    http://forums.phoenixrising.me/inde...d-pace-trial-protocol.3928/page-53#post-88401

    Perhaps the keyword here is "no longer had fatigue affecting normal life"?
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  5. snowathlete

    snowathlete

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    Interesting. Thanks for posting. My article on zoonoses mentions this outbreak and the earlier study. I would have referenced this study too had it been published a few days earlier.

    The Giardia also caused IBS in a lot of patients which of course is often co-morbid with CFS.
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  6. WillowJ

    WillowJ Senior Member

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    these are all kinds of patients - you can see from the abstract that uncategorized post-viral fatigue, ICF, and CFS are mentioned, as well as 'recovered' patients. It is well known that from uncategorized fatigue after virus, more will have greater improvement earlier on (it is unclear to me whether some recover fully? or some recover to fairly normal life with some symptoms but carry a danger of relapse).

    I thought the recovery from general-fatigue-after-infection category was interesting to compare with recovery claims from various therapies, as they sometimes use/include patients who have not been ill for very long.
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  7. snowathlete

    snowathlete

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    These people, when the outbreak originally occurred, knowing the cause of their illness, all had treatment for it with metronidazole too, so their chances of getting better would have been greater than others (some of us perhaps) who may have the same cause but not know it.
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