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 in fact an animal reservoir for the disease, human infections occur more frequently in areas where pigs are raised. Other potential animal reservoirs include rodents and non human primates.

Manifestations: Most cases are asymptomatic. Clinical manifestations, when present, include:

Diagnosis 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:

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