Urinary balantidiasis in a patient with systemic lupus erythematosus and lupus nephritis: a case report

Martviset, Pongsakorn; Sirisabhabhorn, Kridsada; Pumpa, Supaporn; Rhongbutsri, Pochong; Taylor, Aree; Taylor, Walter R. J.

doi:10.1186/s13256-020-02389-7

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…Reduction in haemoglobin and red blood cell levels together with increased mean cell volume was suggestive of megaloblastic anaemia mostly caused by deficient of vitamin B-12 and /or folate. Similar findings were observed in B. coli infected patients in Venezuela [ 27 ] and recently in Thailand [ 28 ]. Significant thrombocytopenia was evident in B. coli infected individuals which was worsened in co-infection state.…”

Section: Discussionsupporting

confidence: 90%

Prevalence and risk factors of human Balantidium coli infection and its association with haematological and biochemical parameters in Ga West Municipality, Ghana

et al. 2021

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Background In Ghana, Balantidium coli (B. coli) has been identified in vegetables and in pigs, although there is a paucity of data regarding human balantidiosis. This study sought to assess human B. coli infection in Ghana, factors associated with the infection as well as its association with haematological and biochemical parameters. Methods Two pig rearing communities in the Ga West Municipality, Ghana, were involved in this study. Stool and blood samples were collected from pig farmers and their exposed household members as well as relevant information on potential associated factors. Eosin-saline wet preparation was done on the same day of stool samples were collected while formol ether concentration technique was performed later. Haematological, biochemical parameters and serum electrolytes were determined using Celltac MEK-6500 K, PKL-125 biochemical analyser, and FT-320 electrolyte analyser, respectively. Results The overall prevalence of balantidiosis was 10.4 %, significantly higher among farmers (21.7 %) than in exposed household members (5.8 %) (x2 = 17.8, p = 0.000025). Of the 43 infected individuals, 20.9 % were co-infected with either Entamoeba histolytica, Giardia lamblia, or Schistosoma mansoni. In B. coli infection, mild to moderate anaemia together with a reduction in levels of platelet, albumin and, sodium, chloride, and bicarbonate ions were observed. However, white blood cells were significantly elevated in infected states. Poor farming practices such as free-range systems, improper disposal of pig faeces, lack of use of protective farming clothing, and unavailability of dedicated farming clothing were found to be associated with B. coli infection status. Finally, frequent diarrhea (OR = 12.30, p = 0.006) with occult blood (OR = 25.94, p < 0.0001) were found to be predictors of B. coli infection. Conclusions Human balantidiosis is endemic in Ga West Municipality, Ghana. Individuals living closed to pig rearing communities presenting with frequent diarrhea with occult blood in stool should be screened and treated for balantidiosis to mitigate the clinical consequences of the infection.

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Section: Discussionsupporting

confidence: 90%

Prevalence and risk factors of human Balantidium coli infection and its association with haematological and biochemical parameters in Ga West Municipality, Ghana

et al. 2021

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“…Currently, there are about eleven documented cases of urinary balantidiasis reported globally. Single cases reported from Iran, 21 Italy, 25 Slovenia 26 and Thailand 27 while, seven cases were reported from India ( Table 1 ). 20 , 28–32 …”

Section: Discussionmentioning

confidence: 99%

Balantidium coli; Rare and Accidental Finding in the Urine of Pregnant Woman: Case Report

Almaw¹,

Berhan²,

Solomon³

et al. 2022

IMCRJ

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“…2,[5][6][7][8][9] Currently, there are about 11 documented cases of urinary balantidiasis reported globally. Single cases were reported from Iran, 10 Italy, 11 Slovenia 12 and Thailand 13 , while 7 cases were reported from India. [14][15][16][17][18][19] The low frequency of B.coli may not represent the real occurrence and prevalence of the parasite as it usually remains asymptomatic and under reported.…”

Section: Introductionmentioning

confidence: 99%

Parasites observed in urine sediments: A learning from incidental rare species

Raj

Yadav²

2023

JDPO

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Parasitic infection becomes an unsolved problem in using of automated instruments for urinalysis. Most common parasitic infections described in literature are Trichomonas vaginalis, Schistosoma hematobium and Microfilaria. Other rare organisms are Balantidium coli and Paramecium. The main purpose of this article is to raise the awareness in pathologists and clinicians on the importance of cytological evaluation of urine. This study was done to find the associations between the age and point prevalence of organisms in our zone in the last 6 years. Identification of parasites in centrifuged deposits of urine sediment is a relatively rare occurrence in clinical practice. A fairly wide morphological spectrum of parasites may be diagnosed through microscopic examination of centrifuged urine sediment. They may present with symptoms like pyuria, hematuria, diarrhoea, burning micturition, itching and morphological awareness helps in prompt and effective management in most cases.

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Urinary balantidiasis in a patient with systemic lupus erythematosus and lupus nephritis: a case report

Cited by 6 publications

References 18 publications

Prevalence and risk factors of human Balantidium coli infection and its association with haematological and biochemical parameters in Ga West Municipality, Ghana

Prevalence and risk factors of human Balantidium coli infection and its association with haematological and biochemical parameters in Ga West Municipality, Ghana

Balantidium coli; Rare and Accidental Finding in the Urine of Pregnant Woman: Case Report

Parasites observed in urine sediments: A learning from incidental rare species

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