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      A rare case of urinary balantidiasis in an elderly renal failure patient

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          Abstract

          Balantidium coli is the largest ciliated protozoa infecting humans by the feco-oral transmission from pigs. Large gut is the most common site of involvement. Symptomatology varies from asymptomatic carrier to invasive dysentery. Extra-intestinal infections can occur in liver, lung and urogenital tract. There are very few case reports of urinary balantidiasis. We present a case of urinary balantidiasis in an elderly farmer having diabetes and chronic kidney disease. This case is reported for its rarity and future references.

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          Textbook of Medical Parasitology

          SC Parija, S.C. Parija (2011)
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            Urinary balantidiasis: diagnosis at a glance by urine sediment examination.

            Alberto Maino, Giuseppe Garigali, Romualdo Grande … (2016)
            A 56-year-old Caucasian man with non-Hodgkin's lymphoma, who had previously been treated with prolonged intensive chemotherapy, was hospitalized for an acute and reversible kidney injury of multifactorial origin. The urinary sediment examination, performed daily, demonstrated the presence of renal tubular cells and renal tubular cell casts. Surprisingly, it also showed the presence of trophozoites of the protozoan Balantidium coli, which were identified on the basis of its characteristic morphology and rapid movements across the slide, and transient leukocyturia. The patient was asymptomatic, his medical history was negative for gastrointestinal disease, and no Balantidium coli was found in the feces. In spite of this, due to the previous chemotherapy, the patient was treated with oral metrodinazole. Only one other case with Balantidium coli in the urine sediment has been described so far and this paper stresses the importance of the examination of the urinary sediment.
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              Balantidium coli on urine microscopy.

              Sumukhi Umesh (2024)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Trop Parasitol
                Journal ID (iso-abbrev): Trop Parasitol
                Journal ID (publisher-id): TP
                Title: Tropical Parasitology
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 2229-5070
                ISSN (Electronic): 2229-7758
                Publication date (Print): Jan-Jun 2014
                Volume: 4
                Issue: 1
                Pages: 47-49
                Affiliations
                [1] Department of Microbiology, Hi Tech Medical College and Hospital, Bhubaneswar, Odisha, India
                [1 ] Department of General Medicine, M.K.C.G Medical College, Brahmapur, Ganjam, Odisha, India
                Author notes
                Address for correspondence: Dr. T Karuna, Department of Microbiology, Hi Tech Medical College and Hospital, Block 3, Flat 1, Pandara, Rasulgarh, Bhubaneswar, Odisha, India. E-mail: karunakhadanga@ 123456yahoo.co.in
                Article
                Publisher ID: TP-4-47
                DOI: 10.4103/2229-5070.129165
                PMC ID: 3992804
                PubMed ID: 24754028
                SO-VID: f0d77c54-4fee-4738-bcee-c062649112d7
                Copyright © Copyright: © Tropical Parasitology
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 07 March 2013
                Date accepted : 20 March 2014
                Categories
                Subject: Dispatches

                Keywords: balantidiasis,balantidium coli,trophozoite
                Data availability:
                Keywords: balantidiasis, balantidium coli, trophozoite

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