This action might not be possible to undo. Are you sure you want to continue?
Galuh DN Astuti, MD, Msi. Med.
Yeasts? Fungi? Ameboid? Flagellated? Sporozoan protozoa? SSUrRNA gene: Kingdom Chromista, genus Stramenopiles At least 12 species has been identified Human most commonly infected by subtype 3 Distributed worldwide, but higher in the developing countries Transmitted via fecal-oral route
4 Major forms
Vacuolar: 4-15 um with a central vacuole most frequently detected in the fecal specimens Granular: intracytoplasmic granules Ameboid Cystic
Immunocompromise Exposure to contaminated food or water Travel or immigration from developing countries
Mostly asymptomatic Symptomatic: Acute or chronic diarrhea Bloating Flatulence Abdominal cramps Fatigue Irritable Bowel Disease (IBD)
Microscopic identification of parasites (cyst-like stage) in stool Trichrome stain seems to be the most sensitive staining for this parasite Do not perform Concentration method false (-) Electron microscopy can also be used Culture Jones medium PCR
More specific and sensitive
Asymptomatic mostly self limited therapy is unnecessary Symptomatic
First line: Metronidazol 750 mg PO 3 times/day x 10days
Washing hands before eating Avoid water or food that may be contaminated Wash and peel all raw vegetables and fruits before eating Avoid drinking unboiled tap water and avoid uncooked foods washed with unboiled tap water