From the field: a case of zoonotic transmission of Giardia duodenalis from wild reindeer?

A fieldworker got more involved in research than intended when he contracted a Giardia duodenalis infection shortly after collecting faecal samples from wild Norwegian reindeer. Almost 50% of the reindeer samples showed heavy infections with G. duodenalis assemblage AI. Molecular comparison with the fieldworker's infection revealed identical sequences at the loci successfully amplified. Although causality is inherently difficult to establish in wildlife-associated infections, the worker's long history without previous infection, his intense exposure during sampling, absence of alternative known risk factors, and onset of symptoms consistent with exposure indicate that the reindeer samples were the most plausible source. These findings suggest a rare case of well-supported wildlife-associated Giardia transmission.