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Acari-Induced Diarrhea in Young Adult Patients: Case Report From Indonesia
Lyana Setiawan1, Jessica Levina2, Taswin Prawira3
1Laboratory of Clinical Pathology, Dharmais National Cancer Hospital, Jakarta City, Jakarta, Indonesia.
Abstract:
BACKGROUND Intestinal acariasis is caused by the ingestion of mite-contaminated food and may lead to symptoms such as diarrhea and abdominal pain. Storage mites can survive in the human intestine and may contribute to intestinal acariasis-associated diarrhea. However, awareness of this condition as a potential cause of diarrhea remains limited. These mites, particularly Tyrophagus putrescentiae and other storage mites, are commonly found in food products such as flour and grains. CASE REPORT This report describes 3 cases of intestinal acariasis. Complete clinical data were available for the first case; only demographic information (age and sex) and stool laboratory findings were available for the second and third cases. All 3 patients presented with diarrhea and exhibited mites in their stool specimens. The etiologic agents in the first 2 patients were identified as Tyrophagus spp. The arthropod detected in the third patient could not be identified because the specimen was fragmented. Mites may induce intestinal inflammation, mucosal necrosis, and immune activation through their metabolic products. In intestinal acariasis, mites can damage the intestinal mucosa, penetrate the intestinal muscle layer, and further stimulate immune responses through their metabolites and body components. CONCLUSIONS Mites should be considered a potential cause of diarrhea. Further investigation into intestinal acariasis-associated diseases is warranted.
Insights
Intestinal acariasis, caused by ingesting mite-contaminated food, can lead to diarrhea. Storage mites like Tyrophagus spp. found in food may be an underrecognized cause of this gastrointestinal issue.
Area of Science:
- Medical Entomology
- Gastroenterology
- Parasitology
Background:
- Intestinal acariasis results from consuming food contaminated with mites, often storage mites like Tyrophagus putrescentiae.
- This condition can manifest as diarrhea and abdominal pain, but remains underdiagnosed.
- Mites are frequently found in staple food products such as grains and flour.
Purpose of the Study:
- To highlight intestinal acariasis as a potential cause of diarrhea.
- To present case reports of patients with mite-induced gastrointestinal symptoms.
- To emphasize the need for increased awareness and further research.
Main Methods:
- Case report of three patients presenting with diarrhea.
- Microscopic examination of stool specimens to identify mites.
- Identification of etiological agents where possible (Tyrophagus spp.).
Main Results:
- All three patients exhibited mites in their stool samples and presented with diarrhea.
- Tyrophagus spp. were identified as the cause in two cases.
- Mites can cause intestinal inflammation, mucosal damage, and immune responses.
Conclusions:
- Mites should be considered a potential etiological agent for unexplained diarrhea.
- Further research into intestinal acariasis and associated diseases is necessary.
- Increased clinical suspicion can improve diagnosis and management.
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