Case Report
Copyright ©The Author(s) 2004. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 1, 2004; 10(3): 458-459
Published online Feb 1, 2004. doi: 10.3748/wjg.v10.i3.458
Dysentery caused by Balantidium coli in a patient with non-Hodgkin’s lymphoma from Turkey
Süleyman Yazar, Fevzi Altuntas, Izzet Sahin, Metin Atambay
Süleyman Yazar, Izzet Sahin, Department of Parasitology, Medical Faculty, Erciyes University, Kayseri-Turkey
Fevzi Altuntas, Department of Haematology, Medical Faculty, Erciyes University, Kayseri-Turkey
Metin Atambay, Department of Parasitology, Medical Faculty, Inonu University, Malatya-Turkey
Correspondence to: Süleyman Yazar, Department of Parasitology, Medical Faculty, Erciyes University, 38039, Kayseri, Turkey. syazar@erciyes.edu.tr
Telephone: +90-352-4374937 Ext 23401
Received: September 6, 2003
Revised: September 8, 2003
Accepted: September 11, 2003
Published online: February 1, 2004
Abstract

Balantidium coli is the only parasitic ciliate of man. It is a flattened oval organism covered with cilia, and a gullet at the anterior end. It is infrequently pathogenic for man, although epidemic buds in tropical zones have been described. The infection fundamentally affects the colon and causes variable clinic pictures, from asymptomatic to serious dysenteric forms. We present a case of parasitologically diagnosed as causes of diarrhea in a patient with non-Hodgkin’s lymphoma from Turkey. In order to find out the causative etiologic agent of diarrhea, stool samples were examined by native, lugol and flotation methods and we detected moving trophozoites, which were approximately 60 μm long and 35 μm wide. These bodies were diagnosed as Balantidium coli. This case underlines that Balantidium coli should also be considered as a possible pathogen in immunocompromised patients with diarrhea.

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