1887

Abstract

Background:

Balantiosis, a rare zoonotic infection resulting in dysentery, is caused by the large ciliated protozoan parasite . Humans acquire this organism via the faecal–oral route. Very rarely, extraintestinal infections can occur in the urinary tract system. There are very few case reports of urinary balantiosis in humans.

Case presentation:

Here, an interesting case of urinary balantiosis in a 35-year-old addicted woman with multiple health problems including spontaneous abortion and diabetes is reported. Her midstream urine sample, collected while all sterile precautions were being taken, demonstrated . along with and bacteria. was identified by its characteristic morphology and rapid rotary motility in the urinary tract, which is an abnormal site for invasion by this parasite.

Conclusion:

To the best of our knowledge, this is only the eighth case described in literature in which was detected in urine sediment; it is reported for its rarity and for future reference.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.000102
2016-02-05
2019-12-12
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/3/1/jmmcr000102.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.000102&mimeType=html&fmt=ahah

References

  1. Anargyrou K., Petrikkos G. L., Suller M. T., Skiada A., Siakantaris M. P., Osuntoyinbo R. T., Pangalis G., Vaiopoulos G.. 2003; Pulmonary Balantidium coli infection in a leukemic patient. Am J Hematol73:180–183 [CrossRef][PubMed]
    [Google Scholar]
  2. Bandyopadhyay A., Majumder K., Goswami B. K.. 2013; Balantidium coli in urine sediment: report of a rare case presenting with hematuria. J Parasit Dis37:283–285 [CrossRef][PubMed]
    [Google Scholar]
  3. Basavraj N., Vishwas K., Sarita M., Pradeep K., Shegar M.. 2012; Ciliated protozoan parasite in urine of diabetic female – what could be its significance. J Med Educ Res2:49–51
    [Google Scholar]
  4. Bellanger A. P., Scherer E., Cazorla A., Grenouillet F.. 2013; Dysenteric syndrome due to Balantidium coli: a case report. New Microbiol36:203–20523686128
    [Google Scholar]
  5. Casqueiro J., Casqueiro J., Alves C.. 2012; Infections in patients with diabetes mellitus: a review of pathogenesis. Indian J Endocrinol Metab16:Suppl. 1S27–S36 [CrossRef][PubMed]
    [Google Scholar]
  6. Cermeño J. R., Hernández De Cuesta I., Uzcátegui O., Páez J., Rivera M., Baliachi N.. 2003; Balantidium coli in an HIV-infected patient with chronic diarrhoea. AIDS17:941–942 [CrossRef][PubMed]
    [Google Scholar]
  7. Dodd L. G.. 1991; Balantidium coli infestation as a cause of acute appendicitis. J Infect Dis163:1392 [CrossRef][PubMed]
    [Google Scholar]
  8. Ferry T., Bouhour D., De Monbrison F., Laurent F., Dumouchel-Champagne H., Picot S., Piens M. A., Granier P.. 2004; Severe peritonitis due to Balantidium coli acquired in France. Eur J Clin Microbiol Infect Dis23:393–395 [CrossRef][PubMed]
    [Google Scholar]
  9. Friedman H., Newton C., Klein T. W.. 2003; Microbial infections, immunomodulation, and drugs of abuse. Clin Microbiol Rev16:209–219 [CrossRef][PubMed]
    [Google Scholar]
  10. Kapur P., Das A. K., Kapur P. R., Dudeja M.. 2014; Balantidium coli liver abscess: first case report from India. J Parasit Dis. [CrossRef]
    [Google Scholar]
  11. Karuna T., Khadanga S.. 2014; A rare case of urinary balantidiasis in an elderly renal failure patient. Trop Parasitol4:47–49 [CrossRef][PubMed]
    [Google Scholar]
  12. Khanduri A., Chauhan S., Chandola I., Mahawal B., Kataria V.. 2014; Balantidiosis: a rare accidental finding in the urine of a patient with acute renal failure. J Clin Diagn Res8:DD03–DD0424995185
    [Google Scholar]
  13. Koopowitz A., Smith P., van Rensburg N., Rudman A.. 2010; Balantidium coli-induced pulmonary haemorrhage with iron deficiency. S Afr Med J100:534–53620822624[CrossRef]
    [Google Scholar]
  14. Maino A., Garigali G., Grande R., Messa P., Fogazzi G. B.. 2010; Urinary balantidiasis: diagnosis at a glance by urine sediment examination. J Nephrol23:732–73720349417
    [Google Scholar]
  15. Maleky F.. 1998; Case report of Balantidium coli in human from south of Tehran, Iran. Indian J Med Sci52:201–2029808912
    [Google Scholar]
  16. Nakauchi K.. 1999; The prevalence of Balantidium coli infection in fifty-six mammalian species. J Vet Med Sci61:63–65 [CrossRef][PubMed]
    [Google Scholar]
  17. Pomajbíková K., Petrželková K. J., Profousová I., Petrášová J., Modrý D.. 2010; Discrepancies in the occurrence of Balantidium coli between wild and captive African great apes. J Parasitol96:1139–1144 [CrossRef][PubMed]
    [Google Scholar]
  18. Pomajbíková K., Oborník M., Horák A., Petrželková K. J., Grim J. N., Levecke B., Todd A., Mulama M., Kiyang J., Modrý D.. 2013; Novel insights into the genetic diversity of Balantidium Balantidium-like cyst-forming ciliates. PLoS Negl Trop Dis7:e2140 [CrossRef][PubMed]
    [Google Scholar]
  19. Rivasi F., Giannotti T.. 1983; Balantidium coli in cervico-vaginal cytology. A case report. Pathologica75:439–4426646854
    [Google Scholar]
  20. Schuster F. L., Ramirez-Avila L.. 2008; Current world status of Balantidium coli . Clin Microbiol Rev21:626–638 [CrossRef][PubMed]
    [Google Scholar]
  21. Sharma S., Harding G.. 2003; Necrotizing lung infection caused by the protozoan Balantidium coli . Can J Infect Dis14:163–16618159451[CrossRef]
    [Google Scholar]
  22. Solaymani-Mohammadi S., Rezaian M., Anwar M. A.. 2005; Human balantidiasis in Iran: an unresolved enigma?. Trends Parasitol21:160–161 [CrossRef][PubMed]
    [Google Scholar]
  23. Umesh S.. 2007; Balantidium coli on urine microscopy. Natl Med J India20:27018254530
    [Google Scholar]
  24. Yazar S., Altuntas F., Sahin I., Atambay M.. 2004; Dysentery caused by Balantidium coli in a patient with non-Hodgkin's lymphoma from Turkey. World J Gastroenterol10:458–45914760781[CrossRef]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.000102
Loading
/content/journal/jmmcr/10.1099/jmmcr.0.000102
Loading

Data & Media loading...

Supplements

Supplementary Data

MOVIE

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error