[Dientamoeba fragilis: possibly an important cause of persistent abdominal pain in children]

D K Bosman1, M A Benninga, P van de Berg

  • 1Academisch Medisch Centrum/Universiteit van Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam.

Insights

Antiprotozoic treatment effectively cleared Dientamoeba fragilis infections in children, significantly reducing persistent gastrointestinal complaints. This study highlights successful treatment outcomes for this common pediatric infection.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Diseases
  • Parasitology

Background:

  • Persistent gastrointestinal complaints in children can be linked to parasitic infections.
  • Dientamoeba fragilis is an increasingly recognized protozoan pathogen in pediatric populations.

Observation:

  • This retrospective study analyzed 43 children with Dientamoeba fragilis infection and persistent abdominal pain.
  • Treatment involved either clioquinol (27 children) or a nitroimidazole drug (16 children).

Findings:

  • Parasitological cure was achieved in 77% of treated children (33/43).
  • Clinical improvement, including reduced or resolved gastrointestinal symptoms, was observed in 82% of children who cleared the infection.
  • Symptomatic improvement also occurred in 20% of children where the infection persisted.

Implications:

  • Antiprotozoic therapy is effective in managing Dientamoeba fragilis infections in children.
  • Successful treatment correlates with significant alleviation of chronic gastrointestinal symptoms.
  • Further research into optimal treatment strategies for pediatric Dientamoeba fragilis infections is warranted.
Abstract

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