Balantidiasis
Balantidiasis is caused by a large ciliated protozoan parasite, Balantidium coli. The patient most often acquires the cyst through ingestion of contaminated food or water. Following ingestion, excystation occurs in the small intestine, and the trophozoites colonise the large intestine and grow there.
Occurrence: Worldwide. Because pigs are an animal reservoir, human infections occur more frequently in areas where pigs are raised. Other potential animal reservoirs include rodents and nonhuman primates.
Manifestations: Most cases are asymptomatic. Clinical manifestations, when present, include:
persistent diarrhoea, occasionally dysentery abdominal pain weight loss Diagnose and treatment: Diagnosis is based on detection of trophozoites in stool specimens or in tissue collected during endoscopy. Treatment is effective with antibiotics.
Vaccine: Not available
Prevent infection with ascarids by:
Avoid contacting soil that may be contaminated with human faeces. Do not defecate outdoors. Dispose of diapers properly. Wash hands with soap and water before handling food. When travelling to countries where sanitation and hygiene are poor, avoid water or food that may be contaminated. Wash, peel or cook all raw vegetables and fruits before eating.
Balantidiasis Resource: [Lung cancer with bronchial stenosis due to foreign body and Entoameba gingivalis infection]. Monaco F, Mondello B, Barone M, Familiari D, Sibilio M, La Rocca A, Lentini S, Monaco M.G Chir . 2011 Mar;32(3):139-41. Italian.Virulence of Entamoeba histolytica: a challenge for human health research. Anaya-Velázquez F, Padilla-Vaca F.Future Microbiol . 2011 Mar;6(3):255-8. No abstract available.Microbial keratitis at a referral center in Brazil. Cariello AJ, Passos RM, Yu MC, Hofling-Lima AL.Int Ophthalmol . 2011 Jun;31(3):197-204. Epub 2011 Mar 30Identification of a polypeptide containing Tudor and staphyloccocal nuclease-like domains as the sequence-specific binding protein to the upstream regulatory element 1 of Entamoeba histolytica. Calixto-Gálvez M, Romero-Díaz M, García-Muñoz A, Salas-Casas A, Pais-Morales J, Galván IJ, Orozco E, Rodríguez MA.Int J Parasitol . 2011 Jun;41(7):775-82. Epub 2011 Apr 9Tissue destruction and invasion by Entamoeba histolytica. Ralston KS, Petri WA Jr.Trends Parasitol . 2011 Jun;27(6):254-63. Epub 2011 Mar 26. ReviewThe cysteine protease inhibitors EhICP1 and EhICP2 perform different tasks in the regulation of endogenous protease activity in trophozoites of Entamoeba histolytica. Šarić M, Irmer H, Eckert D, Bär AK, Bruchhaus I, Scholze H.Protist . 2012 Jan;163(1):116-28. Epub 2011 Mar 25Plant extracts, isolated phytochemicals, and plant-derived agents which are lethal to arthropod vectors of human tropical diseases--a review. Pohlit AM, Rezende AR, Lopes Baldin EL, Lopes NP, Neto VF.Planta Med . 2011 Apr;77(6):618-30. Epub 2011 Mar 22. ReviewIn vitro sensitivity of Blastocystis hominis to garlic, ginger, white cumin, and black pepper used in diet. Yakoob J, Abbas Z, Beg MA, Naz S, Awan S, Hamid S, Jafri W.Parasitol Res . 2011 Aug;109(2):379-85. Epub 2011 Mar 23Entamoeba histolytica/Entamoeba dispar infection in chronic hemodialysis patients. Ferreira-Filho SR, da Costa Braga FC, de Sa DM, Nunes EB, Parreira Soares JS, Padovese SM, de Oliveira AC, Ferreira Oliveira GM, Dos Passos G, Lemes HL.Saudi J Kidney Dis Transpl . 2011 Mar;22(2):237-44Usefulness of the presence of trophozoites in pleural fluid in the diagnosis of amoebic empyema and liver abscess. Parejo-Matos J, Rodríguez-Suárez S, Luque-Márquez R.Arch Bronconeumol . 2011 May;47(5):265-6. Epub 2011 Mar 21. English, Spanish. No abstract available.A case-control study of Blastocystis hominis among Iranian population. Rostami Nejad M, Nazemalhosseini Mojarad E, Dabiri H, Nochi Z, Pourhoseingholi MA, Sahebekhtiari N, Habibi M, Zali MR.East Afr J Public Health . 2010 Mar;7(1):101-4A C2 domain protein kinase initiates phagocytosis in the protozoan parasite Entamoeba histolytica. Somlata, Bhattacharya S, Bhattacharya A.Nat Commun . 2011;2:230Microbial keratitis as a foreseeable complication of cosmetic contact lenses: a prospective study. Sauer A, Bourcier T; French Study Group for Contact Lenses Related Microbial Keratitis.Acta Ophthalmol . 2011 Aug;89(5):e439-42. doi: 10.1111/j.1755-3768.2011.02120.x. Epub 2011 Mar 15[Survey of severe contact lens-associated microbial keratitis in Japan]. Uno T, Fukuda M, Ohashi Y, Shimomura Y, Ishibashi Y, Inaba M, Inoue Y, Ueda K, Eguchi H, Shiraishi A, Sotozono C, Tagawa Y, Chikama T.Nihon Ganka Gakkai Zasshi . 2011 Feb;115(2):107-15. Japanese.Use of PCR to detect Entamoeba gingivalis in diseased gingival pockets and demonstrate its absence in healthy gingival sites. Trim RD, Skinner MA, Farone MB, Dubois JD, Newsome AL.Parasitol Res . 2011 Sep;109(3):857-64. Epub 2011 Mar 12A rare survivor of Balamuthia granulomatous encephalitis. Botterill E, Yip G.Clin Neurol Neurosurg . 2011 Jul;113(6):499-502. Epub 2011 Mar 12. No abstract available.Entamoeba species associated with chronic diarrhoea in Pakistan. Yakoob J, Abbas Z, Beg MA, Naz S, Khan R, Jafri W.Epidemiol Infect . 2012 Feb;140(2):323-8. Epub 2011 Mar 14A mutation in the leptin receptor is associated with Entamoeba histolytica infection in children. Duggal P, Guo X, Haque R, Peterson KM, Ricklefs S, Mondal D, Alam F, Noor Z, Verkerke HP, Marie C, Leduc CA, Chua SC Jr, Myers MG Jr, Leibel RL, Houpt E, Gilchrist CA, Sher A, Porcella SF, Petri WA Jr.J Clin Invest . 2011 Mar;121(3):1191-8An optimum diagnostic test for amoebic liver abscess in endemic areas: are we there yet? Saleem T, Khalid U, Rabbani M.J Pak Med Assoc . 2010 Dec;60(12):1075-6. No abstract available.[Acanthamoeba keratitis]. Meltendorf C, Duncker G.Klin Monbl Augenheilkd . 2011 Mar;228(3):R29-43. Epub 2011 Mar 3. Review. German. No abstract available.First
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