IT HAS been repeatedly stated that severe infection with the protozoon Giardia lamblia acting as a barrier to absorption from the intestine often leads to celiac symptoms.1 This view has been widely accepted and several times confirmed in pediatric literature, especially since there is experimental evidence that the absorption of vitamin A is intensely disturbed in these cases.2 Cases of grave vitamin deficiency are, however, rare. This is the reason that, besides emphasizing the pathologic importance of giardiasis, the following case seemed of interest.
REPORT OF CASE
B. R., a male child 28 months of age, was admitted to the hospital with keratomalacia of both eyes. He was emaciated, weighing 6,600 Gm., and had had offensive loose stools for a year. The history was irrelevant except that he came from a country where hypovitaminoses A are almost nonexistent and that both his brothers, fed on the same diet,