Prevalence of amebiasis in inflammatory bowel disease in Turkey

doi:10.3748/wjg.v9.i8.1834

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Aug 15, 2003; 9(8): 1834-1835
Published online Aug 15, 2003. doi: 10.3748/wjg.v9.i8.1834

Prevalence of amebiasis in inflammatory bowel disease in Turkey

Sebnem Ustun, Hande Dagci, Umit Aksoy, Yuksel Guruz, Galip Ersoz

Sebnem Ustun, Department of Gastroenterology, School of Medicine, University of Ege, 35100, Bornova, Izmir, Turkey

Hande Dagci, Department of Parasitology, School of Medicine, University of Ege, 35100, Bornova, Izmir, Turkey

Umit Aksoy, Department of Parasitology, School of Medicine, University of Dokuz Eylul, Izmir, Turkey

Yuksel Guruz, Department of Parasitology, School of Medicine, University of Ege, 35100, Bornova, Izmir, Turkey

Galip Ersoz, Department of Gastroenterology, School of Medicine, University of Ege, 35100, Bornova, Izmir, Turkey

Author contributions: All authors contributed equally to the work.

Correspondence to: Sebnem Ustun, Department of Gastroenterology, School of Medicine, University of Ege, 35100, Bornova, Izmir, Turkey. sustun@med.ege.edu.tr

Telephone: +90-232-3881969

Received: March 28, 2003
Revised: April 2, 2003
Accepted: April 20, 2003
Published online: August 15, 2003

Abstract

AIM: To explore the prevalence of amebiasis in inflammatory bowel disease (IBD) in Turkey.

METHODS: In this study, amoeba prevalence in 160 cases of IBD, 130 of ulcerative colitis and 30 of Crohn’s disease were investigated in fresh faeces by means of wet mount+Lugol’s iodine staining, modified formol ethyl acetate and trichrome staining methods and to compare the diagnostic accuracy of wet mount+Lugol’s iodine staining, modified formol ethyl acetate and trichrome staining methods in the diagnosis of Entamoeba histolytica (E. histolytica)/ Entamoeba dispar (E. dispar).

RESULTS: E. histolytica/E. dispar cysts and trophozoites were found in 14 (8.75%) of a total of 160 cases, 13 (10.0%) of the 130 patients with ulcerative colitis and 1 (3.3%) of the 30 patients with Crohn’s disease. As for the 105 patients in the control group who had not any gastrointestinal complaints, 2 (1.90%) patients were found to have E. histolytica /E. dispar cysts in their faeces. Parasite prevalence in the patient group was determined to be significantly higher than that in the control group (Fischer’s Exact Test, P < 0.05). When the three methods of determining parasites were compared with one another, the most effective one was found to be trichrome staining method (Kruskal-Wallis Test, P < 0.01).

CONCLUSION: Consequently, amoeba infections in IBD cases have a greater prevalence compared to the normal population. The trichrome staining method is more effective for the detection of E. histolytica /E. dispar than the wet mount+Lugol’s iodine staining, modified formol ethyl acetate methods.

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