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Balantidium coli د. حمد صبري مwww.dvmdocs.webs.com

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Balantidium coli

محمد صبري. د

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Domain: eukarya

Kingdom: chromalveolata

Superphylum: alveolata

Phylum: ciliophora

Class: litostomatea

order: versbuliferida

Family: balantididae

Genus: balantidium

Species: balantidium coli

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Worldwide distribution

Host spectrum includes human beings,Monkeys,dogs

and pigs

Mostly infect at Cecum , large intestine

especially prevalent in tropics

rarely exceeds 1%

common in pigs and monkeys

unlikely to be reservoirs

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Trophozites ; they are ovoid and large size

Cilia: presence of cilia on the cell surface

Cytostome

Bean shaped macronucleus

Smaller micronucleus

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Balantidium coli cyst

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Balantidium trophozite

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Balantidium trophozite

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Both asexual and sexual reproduction present

Asexual by binary fission

Sexual by conjugation

Conjugation two opposite mating types pair & exchange genetic material

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Cysts are the stage responsible for transmission of balantidiasis .

The host most often acquires the cyst through ingestion of contaminated food or water .

Following ingestion, excystation occurs in the small intestine, and the trophozoites colonize the large intestine .

The trophozoites reside in the lumen of the large intestine of humans and animals, replicate by binary fission, during which conjugation may occur .

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Trophozoites undergo encystation to produce infective cysts .

Some trophozoites invade the wall of the colon and multiply.

Some return to the lumen and disintegrate.

Mature cysts are passed with feces .

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Balantidium coli produces proteolytic enzymes that break down and digest the intestinal epithelium.

Colon ulceration develops which allows for infiltration by lymphocytes and leukocytes.

Hemorrhage and secondary bacterial infections will develop next.

Perforation of the large intestine and appendix will occur followed by death.

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Clinical Signs

Mild infections occur with diarrhea,

Abdominal pain

Alternating periods of constipation

Ulceration of the gut wall

Diagnosis

Cysts-formed stools

Active trophs-diarrheic stools

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Treatment

Tetracycline drug of choice,500mg four time a day for 10 day

Iodoquinol or metronidazole may be used as alternatives

Metronidazole has not produced consistent results