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La presence de Blastocystis.hominis et Dientaemba.fragilis chez des malades du colons irritable

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  • La presence de Blastocystis.hominis et Dientaemba.fragilis chez des malades du colons irritable

    Selon cette etude, il y a une correlation entre la presence de ces deux parasites dans les selles des malades et les symptomes du colon irritable:

    Blastocystis hominis and Dientamoeba fragilis in patients fulfilling irritable bowel syndrome criteria.

    Yakoob J, Jafri W, Beg MA, Abbas Z, Naz S, Islam M, Khan R.

    Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan.

    <H3 class=abstract_label>Abstract</H3>Studies have suggested a possible role for Blastocystis hominis and Dientamoeba fragilis in the etiology of irritable bowel syndrome (IBS). We studied the prevalence of B. hominis and D. fragilis in patients with IBS-diarrhea (IBS-D). Three hundred and thirty patients were enrolled, 171 (52%) with IBS-D and 159 (48%) were controls, respectively. Stool microscopy, culture, and polymerase chain reaction (PCR) for B. hominis and D. fragilis were done. B. hominis was positive by stool microscopy in 49% (83/171) of IBS compared to 24% (27/159) in control (p < 0.001). B. hominis culture was positive in 53% (90/171) in IBS compared to 16% (25/159) in control (p < 0.001). B. hominis PCR was positive in 44% (75/171) in IBS compared to 21% (33/159) in control (p < 0.001). D. fragilis microscopy was positive in 3.5% (6/171) in IBS-D compared to 0.6% (1/159) in control (p = 0.123). D. fragilis culture was positive in 4% (7/171) in IBS compared to 1.3% (2/159) in control (p = 0.176). D. fragilis PCR was positive in 4% (6/171) in IBS-D compared to 0% (0/159) in control (p = 0.030). B. hominis is common, while D. fragilis was less prevalent in our patients with IBS-D. B. hominis and D. fragilis culture had a better yield compared to stool microscopy and PCR.

    Source: ncbi.nlm
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