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Blastocystis hominis in two children of one family

D E Bratt1, E S Tikasingh

  • 1Department of Child Health, U.W.I., Port-of-Spain General Hospital, Trinidad.

Insights

Blastocystis hominis infections can cause intestinal symptoms like rectal bleeding and diarrhea in children. Metronidazole treatment effectively cleared the parasite, resolving symptoms and ensuring a negative stool sample post-treatment.

Area of Science:

  • Medical Parasitology
  • Pediatric Gastroenterology

Background:

  • Blastocystis hominis is a common intestinal protozoan parasite.
  • Gastrointestinal symptoms in children warrant thorough etiological investigation.

Observation:

  • Two siblings presented with distinct intestinal symptoms: one with rectal bleeding, the other with persistent diarrhea.
  • Stool analysis revealed moderate to heavy Blastocystis hominis infection in both children.

Findings:

  • Treatment with metronidazole led to the resolution of symptoms in both children.
  • Post-treatment stool samples were negative for Blastocystis hominis.
  • Symptomatic relief and parasitological cure were sustained for at least 18 months.

Implications:

  • Blastocystis hominis should be considered as a potential cause of intestinal symptoms in pediatric cases.
  • Metronidazole is an effective therapeutic option for Blastocystis hominis infections in children.
  • Eradication of the parasite leads to long-term resolution of associated gastrointestinal morbidity.

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