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Blastocystis spp.: frequency and subtype distribution in iron deficiency anemic versus non-anemic subjects from Egypt
Hala K El Deeb1, Seham Khodeer
1Parasitology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. kamal_hala@hotmail.com
Abstract:
Many helminthic and protozoal infections have been implicated in iron deficiency anemia (IDA) but few reports have suggested a link between Blastocystis sp. infection and IDA. Herein, we investigated the frequency and the association of the Blastocystis sp. genotype with IDA. Two-hundred and six stool samples were examined for Blastocystis sp. Samples were obtained from 96 cases with a confirmed diagnosis of IDA and 110 matched non-anemic controls. The prevalence of the parasite was significantly higher in the IDA group (54.2%) when compared to controls (17.3%) and was 34.5% in all study subjects. Thus, a relationship between Blastocystis sp. infection and IDA was confirmed. PCR amplification of isolates from cases with IDA and controls using subtype-specific sequenced-tagged site primers found that subtype 3 was the most common (83.3%), followed by subtype 1 (16.7%), and both had similar prevalence in both groups. Therefore, there was no correlation found between the Blastocystis sp. genotype and the occurrence of IDA.
Insights
Blastocystis sp. infection is linked to iron deficiency anemia (IDA). This study confirmed a higher prevalence of Blastocystis sp. in IDA patients, but found no specific genotype association with the condition.
Area of Science:
- Medical Parasitology
- Gastroenterology
- Hematology
Background:
- Iron deficiency anemia (IDA) is often linked to helminthic and protozoal infections.
- The association between Blastocystis sp. infection and IDA is not well-established.
- Blastocystis sp. is a common intestinal protozoan parasite.
Purpose of the Study:
- To investigate the prevalence of Blastocystis sp. in patients with IDA.
- To determine the association between Blastocystis sp. infection and IDA.
- To analyze the correlation between Blastocystis sp. genotypes and IDA.
Main Methods:
- Examined 206 stool samples from 96 IDA cases and 110 non-anemic controls.
- Used PCR amplification with subtype-specific primers to identify Blastocystis sp. genotypes.
- Compared parasite prevalence and genotype distribution between IDA and control groups.
Main Results:
- Blastocystis sp. prevalence was significantly higher in the IDA group (54.2%) compared to controls (17.3%).
- Overall prevalence of Blastocystis sp. was 34.5%.
- Subtype 3 (83.3%) and subtype 1 (16.7%) were the most common genotypes, with similar prevalence in both groups, indicating no genotype-IDA correlation.
Conclusions:
- A significant relationship exists between Blastocystis sp. infection and iron deficiency anemia.
- The study did not find a correlation between specific Blastocystis sp. genotypes and the occurrence of IDA.
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