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Stool findings in "chronic dysentery".

A K Azad Khan, M S Islam, S Haque

    Bangladesh Medical Research Council Bulletin
    |June 1, 1981
    PubMed
    Summary
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    Entamoeba histolytica (E.h.) infection is unlikely to cause chronic dysentery symptoms. Studies found fewer E.h. cysts in those with self-diagnosed chronic dysentery compared to controls.

    Area of Science:

    • Medical Parasitology
    • Gastroenterology
    • Infectious Diseases

    Background:

    • Chronic dysentery is often attributed to parasitic infections.
    • Entamoeba histolytica (E.h.) is a common intestinal protozoan parasite.

    Purpose of the Study:

    • To investigate the association between E.h. infection and self-diagnosed "chronic dysentery".
    • To compare the prevalence of intestinal protozoa and helminths in patients with "chronic dysentery" versus healthy controls.

    Main Methods:

    • Microscopic examination of faecal samples from 63 "chronic dysentery" patients and 50 controls.
    • Detection of protozoa (E.h., E. coli, Giardia) and helminths (Ascaris, hookworm, Trichuris).

    Main Results:

    • E.h. vegetative forms were undetected. E.h. cysts were found in 6.3% of "chronic dysentery" patients vs. 16% of controls.

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  • E. coli and Giardia were less prevalent in "chronic dysentery" patients.
  • Higher prevalence of normal stool findings (31%) in "chronic dysentery" patients compared to controls (16%).

    • Conclusions:

    • E.h. infection is unlikely to be the primary cause of "chronic dysentery" symptoms.
    • Reduced protozoal incidence in patients may be due to antiamoebic medication use.
    • Further investigation is needed to determine the etiology of "chronic dysentery".