Blastocystis sp.-An emerging cause of diarrhea post stem cell transplantation

Osman Radhwi1,2, Abdullah Almohammadi1,2, Adel Almarzouki1,2

  • 1Hematology Department, Faculty of Medicine, King Abdulaziz University Hospital King Abdulaziz University Jeddah Saudi Arabia.

Insights

Protozoan infections like Blastocystis sp. are common after stem cell transplants, especially in the Middle East. Always test for parasites in transplant patients experiencing diarrhea to ensure timely diagnosis and treatment.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Hematology

Background:

  • Stem cell transplantation is a life-saving procedure but carries risks of opportunistic infections.
  • Diarrhea is a frequent and potentially life-threatening complication following stem cell transplantation.
  • Protozoan infections are endemic in certain regions, including the Middle East.

Observation:

  • A case of Blastocystis sp. infection is presented in a multiple myeloma patient.
  • The patient developed diarrhea on day five post-autologous stem cell transplantation.
  • Blastocystis sp. is a protozoan parasite that can cause gastrointestinal distress.

Findings:

  • The patient's diarrhea was attributed to Blastocystis sp. infection.
  • Early identification of parasitic infections is crucial in immunocompromised patients.
  • Stool examination for ova and parasites is essential in the workup of diarrhea post-transplant.

Implications:

  • Clinicians should consider endemic protozoan infections in the differential diagnosis of diarrhea in stem cell transplant recipients.
  • Prompt diagnostic testing can prevent severe complications and mortality associated with opportunistic infections.
  • Implementing routine stool examinations for ova and parasites can improve patient outcomes in this vulnerable population.

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