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Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea
BACKGROUND: Balantidiasis, due to its rare human incidence and nonspecific clinical presentations often neglected from the diagnosis considerations; however, a potent pathogen. Herein, we report a case of neglected balantidiasis presumed as antibiotic-associated diarrhoea. Case Presentation. A 27-ye...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9208978/ https://www.ncbi.nlm.nih.gov/pubmed/35734242 http://dx.doi.org/10.1155/2022/6013151 |
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author | Shrestha, Sreska Khadka, Priyatam |
author_facet | Shrestha, Sreska Khadka, Priyatam |
author_sort | Shrestha, Sreska |
collection | PubMed |
description | BACKGROUND: Balantidiasis, due to its rare human incidence and nonspecific clinical presentations often neglected from the diagnosis considerations; however, a potent pathogen. Herein, we report a case of neglected balantidiasis presumed as antibiotic-associated diarrhoea. Case Presentation. A 27-year-old policeman presented in Sindhuli Hospital, with a chief complaint of epigastric pain, nausea, decreased appetite for several days, and loose stools (3-4 episodes per day). Previously, he was under antibiotic therapy (amoxycillin) for tonsillitis. The health post clinician made a presumptive diagnosis as the side effects of the antibiotics; however, the symptoms were not resolved. Complete blood cell count (CBC) was normal; renal function test (RFT) and liver function (LFT) were within the normal ranges. Ultrasonography of the abdomen and ECG (electrocardiogram) showed normal findings. However, on routine stool actively motile trophozoites of Balantidium coli (B. coli) were seen. He was treated successfully with metronidazole 750 mg tabs orally three times daily for 5 days. CONCLUSION: Protozoal infections, like balantidiasis, might be excluded from the diagnostic consideration in antibiotic-associated diarrhoea cases. Therefore, meticulous review of nonspecific clinical presentation and validation of an etiology with support of diagnostic tests are mandatory. |
format | Online Article Text |
id | pubmed-9208978 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-92089782022-06-21 Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea Shrestha, Sreska Khadka, Priyatam Case Rep Infect Dis Case Report BACKGROUND: Balantidiasis, due to its rare human incidence and nonspecific clinical presentations often neglected from the diagnosis considerations; however, a potent pathogen. Herein, we report a case of neglected balantidiasis presumed as antibiotic-associated diarrhoea. Case Presentation. A 27-year-old policeman presented in Sindhuli Hospital, with a chief complaint of epigastric pain, nausea, decreased appetite for several days, and loose stools (3-4 episodes per day). Previously, he was under antibiotic therapy (amoxycillin) for tonsillitis. The health post clinician made a presumptive diagnosis as the side effects of the antibiotics; however, the symptoms were not resolved. Complete blood cell count (CBC) was normal; renal function test (RFT) and liver function (LFT) were within the normal ranges. Ultrasonography of the abdomen and ECG (electrocardiogram) showed normal findings. However, on routine stool actively motile trophozoites of Balantidium coli (B. coli) were seen. He was treated successfully with metronidazole 750 mg tabs orally three times daily for 5 days. CONCLUSION: Protozoal infections, like balantidiasis, might be excluded from the diagnostic consideration in antibiotic-associated diarrhoea cases. Therefore, meticulous review of nonspecific clinical presentation and validation of an etiology with support of diagnostic tests are mandatory. Hindawi 2022-06-13 /pmc/articles/PMC9208978/ /pubmed/35734242 http://dx.doi.org/10.1155/2022/6013151 Text en Copyright © 2022 Sreska Shrestha and Priyatam Khadka. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Shrestha, Sreska Khadka, Priyatam Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
title | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
title_full | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
title_fullStr | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
title_full_unstemmed | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
title_short | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
title_sort | neglected case of human balantidiasis: presumed as antibiotic-associated diarrhoea |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9208978/ https://www.ncbi.nlm.nih.gov/pubmed/35734242 http://dx.doi.org/10.1155/2022/6013151 |
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