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"Infection occurs by the
ingestion of cysts in contaminated water or
food.
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In the small intestine,
excystation releases trophozoites that multiply
by longitudinal binary fission.
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The trophozoites remain in the
lumen of the proximal small bowel where they can
be free or attached to the mucosa by a ventral
sucking disk.
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Encystation occurs when the
parasites transit toward the colon, and cysts are
the stage found in normal (non diarrheal)
feces.
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The cysts are hardy, can survive
several months in cold water, and are responsible
for transmission.
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Because the cysts are
infectious when passed in the stool or shortly
afterward, person-to-person transmission is
possible.
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While animals are infected with Giardia,
their importance as a reservoir is unclear."
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courtesy of
the Division of
Parasitic Diseases at the National Center for
Infectious Diseases, Centers for Disease Control
& Prevention