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Balantidium Coli liver abscess: first case report from India.

P Kapur1, A K Das2, P R Kapur3

  • 1Department of Medicine, HIMSR & H.A.H. Centenary Hospital, Jamia Hamdard, New Delhi, 110062 India.

Journal of Parasitic Diseases : Official Organ of the Indian Society for Parasitology
|April 12, 2016
PubMed
Summary

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This study reports a rare case of liver abscess caused by Balantidium coli, a protozoal parasite typically infecting the large intestine. This finding challenges the established understanding of Balantidium coli infections in humans.

Area of Science:

  • Tropical medicine
  • Infectious diseases
  • Parasitology

Background:

  • Protozoal infections are prevalent in tropical regions, with amoebic colitis being a common cause of morbidity.
  • Balantidium coli, a rare protozoal parasite, typically causes colitis mimicking Entamoeba histolytica infection.
  • Extraintestinal manifestations, such as liver abscess, are not commonly associated with Balantidium coli infections in humans.

Purpose of the Study:

  • To report a unique case of liver abscess caused by Balantidium coli.
  • To highlight the potential for rare complications of Balantidium coli infections.
  • To contribute to the understanding of Balantidium coli pathogenesis.

Main Methods:

  • Case report detailing clinical presentation, diagnostic findings, and treatment of a patient with liver abscess.
Keywords:
Balantidium coliCiliateLiver abscess

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  • Microscopic examination and identification of Balantidium coli in clinical samples.
  • Review of relevant literature on Balantidium coli infections and liver abscesses.

    • Main Results:

    • A case of liver abscess attributed to Balantidium coli infection is presented.
    • This represents a rare extraintestinal manifestation of Balantidium coli.
    • The case is the first reported instance of Balantidium coli-induced liver abscess in Indian literature.

    Conclusions:

    • Balantidium coli can cause rare but severe extraintestinal complications, including liver abscess.
    • Physicians should consider Balantidium coli in the differential diagnosis of liver abscesses, especially in endemic areas.
    • Further research is needed to elucidate the mechanisms behind extraintestinal spread of Balantidium coli.