Presentation
Gastrointestinal symptoms were present in 40/41 (98%) of these children with dientamoebiasis, with diarrhoea (71%) and abdominal pain (29%) the most common clinical signs. Chronic gastrointestinal symptoms were present in 2% of cases. [opus.lib.uts.edu.au]
[…] also having the non-pathogenic flagellate Chilomastix mesnili present. [ncbi.nlm.nih.gov]
Thirty-four (31.5%) patients presented symptoms with no other cause except D. fragilis infection, attributing the symptoms to this parasite. [ajtmh.org]
This chapter provides state-of-the-art overviews on foodborne diseases caused by Dientamoeba fragilis in relation to their etiology, biology, epidemiology, clinical presentation, pathogenesis, diagnosis, treatment, and prevention. [taylorfrancis.com]
Paper Presented at: Research in Progress. London, England: The Royal Society of Tropical Medicine and Hygiene; December 17, 2010. 9. Barratt JL, Harkness J, Marriott D, Ellis JT, Stark D. [ijmm.org]
Entire Body System
- Fatigue
Other Articles Readers Found Helpful Lyme Disease and EBV Infections Seen With Adrenal Fatigue How Chronic Infections Cause Toxic Overload and Adrenal Fatigue Infections and Adrenal fatigue: Three Common Culprits. [drhagmeyer.com]
Primarily characterized by diarrhea and abdominal pain, other symptoms such as flatulence, nausea, vomiting, fatigue, malaise, and weight loss occur. [ncbi.nlm.nih.gov]
Many specialists in Parasitic Diseases now acknowledges that these infections can cause symptoms in some patients such as irritable bowel and fatigue. [custommedicine.com.au]
Clinical Features: Symptoms that have been associated with infection include diarrhea, abdominal pain, anorexia, nausea, vomiting, fatigue, and weight loss. [phsource.us]
- Fever
Children signs of dehydration, such as thirst and decreased urination, lethargy, dry mouth, sunken eyes, feeling faint on standing fever abdominal pain bloody diarrhoea any symptoms in a child less than 12 months of age. [sahealth.sa.gov.au]
Other symptoms such as nausea, vomiting, anorexia, fever and eosinophilia have been also reported [8,9]. [parasitol.kr]
Infection with D. fragilis is called Dientamoebiasis and is associated variously with symptoms of abdominal pain, diarrhoea, weight loss, and fever.[1] Dientamoeba fragilis is a parasite that causes gastrointestinal problems. [clinicaleducation.org]
Other less frequently reported symptoms include fever, bloody stools, vomiting, headache, itching, weight-loss, chronic fatigue, depression, and non-specific gastrointestinal symptoms. [burghwoodclinic.co.uk]
- Chronic Infection
It is clear from experience in the literature that chronic infection with Dientamoeba fragilis (DF) can mimic many of the symptoms of diarrhoea-predominant IBS. [sydneycompounding.com]
The above reasoning is why I will look for chronic infections when there is brain fog and complications with memory. [drhagmeyer.com]
One of the first places I look when chronic brain fog and memory issues occur outside of diet and lifestyle is at the potential of chronic infections. To get assessed to see what infection you may have, click here! [justinhealth.com]
In chronic infection, abdominal pain is usually the dominant symptom, but people may also have loss of appetite, weight, nausea, vomiting, bloating or flatulence. [doctoroz.com]
Morbidity related to acute infection occurs in the first 1-2 weeks of the disease, with symptomatology predominated by diarrhea and abdominal pain. Chronic infection occurs after 1-2 months of illness and is manifested by abdominal pain. [emedicine.medscape.com]
- Falling
Threadworm eggs may also fall off into bedding or clothing, or be wafted into the air, settling on many surfaces in the home or school. Signs and symptoms People who are infected with D. fragilis may not have any symptoms. [sahealth.sa.gov.au]
As mentioned above Dientamoeba fragilis falls into the protozoan phylum. This makes it a single celled eukaryotic organism. Dientamoeba fragilis was first described in 1918 by two scientists Jepps and Dobell. [byronherbalist.com.au]
I only knew my weight because I donate blood regularly and they weigh you, but suddenly my clothes were falling off me and I could see my breastbones and shoulder blades sticking out in pictures. [primalhealth.co]
- Malaise
Primarily characterized by diarrhea and abdominal pain, other symptoms such as flatulence, nausea, vomiting, fatigue, malaise, and weight loss occur. [ncbi.nlm.nih.gov]
Trophozoites of D. fragilis have characteristically one or two nuclei (, ), and it is found in children complaining of intestinal (e.g., intermittent diarrhea, abdominal pain) and other symptoms (e.g., nausea, anorexia, fatigue, malaise, poor weight gain [phsource.us]
Acquired: Fecal-oral transmission via trophozoite form; contaminated food and water Epidemiology: Worldwide, primarily human-to-human transmission Clinical Features: Intestinal : Intermittent diarrhea, abdominal pain, nausea, anorexia, malaise, fatigue [med-chem.com]
Other GI complaints include the following: Anorexia Weight loss Nausea Vomiting Bloating Flatulence Alternating constipation and diarrhoea Non-intestinal complaints include the following: Headache Fever Malaise Fatigue Irritability Weakness Pruritus Urticaria [clinicaleducation.org]
Gastrointestinal
- Abdominal Pain
[…] care at a Greek rural hospital's emergency department suffering diffuse abdominal pain, not well localised. [ijmm.org]
In chronic infection, abdominal pain is usually the dominant symptom, but people may also have loss of appetite, weight, nausea, vomiting, bloating or flatulence. [doctoroz.com]
Abdominal pain lasting more than 3 months was classified as chronic abdominal pain. The dosage of paromomycin was at 25–35 mg/d, divided in 3 equal doses, for 7 days. [journals.lww.com]
- Nausea
Loss of appetite and weight, nausea, and fatigue also are common. The infection does not spread from the intestines to other parts of the body. [omicsonline.org]
Primarily characterized by diarrhea and abdominal pain, other symptoms such as flatulence, nausea, vomiting, fatigue, malaise, and weight loss occur. [ncbi.nlm.nih.gov]
[…] syndrome (IBS) is a common disorder which is characterised by diarrhoea, cramping, sub-umbilical discomfort, symptom improvement on defecation and, at times, aggravation on defecation, flatulence, 'explosive' stools and systemic symptoms such as tiredness, nausea [sydneycompounding.com]
Clinical Features: Symptoms that have been associated with infection include diarrhea, abdominal pain, anorexia, nausea, vomiting, fatigue, and weight loss. [phsource.us]
Clinicians should include infection with D. fragilis in their differential diagnosis in patients presenting with abdominal pain, diarrhea, unexplained flatulence, nausea, and vomiting. [med-chem.com]
- Vomiting
Symptoms, when they occur, may include: abdominal pain, diarrhoea, excess gas, poor appetite, fatigue, nausea, weight loss, vomiting and tiredness. It may be that these symptoms are not caused by D. fragilis infection. [sahealth.sa.gov.au]
Primarily characterized by diarrhea and abdominal pain, other symptoms such as flatulence, nausea, vomiting, fatigue, malaise, and weight loss occur. [ncbi.nlm.nih.gov]
Other symptoms such as nausea, vomiting, anorexia, fever and eosinophilia have been also reported [8,9]. [parasitol.kr]
I tested positive to dientamoeba fragilis in Dec 2015 and my daughter in Jan 2016 – doctors say she does not need treatment as she has no diarrhea and is not vomiting. [buhnerhealinglyme.com]
- Flatulence
We describe a case-history of a 16-year-old patient, who had suffered severe abdominal discomfort and flatulence through his lifetime. [research.regionh.dk]
Primarily characterized by diarrhea and abdominal pain, other symptoms such as flatulence, nausea, vomiting, fatigue, malaise, and weight loss occur. [ncbi.nlm.nih.gov]
Syndrome and Dientamoeba Fragilis Diarrhoea-predominant irritable bowel syndrome (IBS) is a common disorder which is characterised by diarrhoea, cramping, sub-umbilical discomfort, symptom improvement on defecation and, at times, aggravation on defecation, flatulence [sydneycompounding.com]
- Abdominal Cramps
Its use can result in overgrowth of resistant bacteria and has been associated with nausea, abdominal cramping and bloating, vertigo, headaches and rashes. While metronidazole may relieve symptoms, it does not necessarily eliminate the parasite. [omicsonline.org]
Also called an ova and parasite test, this test looks for parasites or their eggs (ova) that cause signs and symptoms, such as diarrhea and abdominal cramping and bloating. [drpaulfroomes.com.au]
Abdominal Cramps Individuals affected with Dientamoeba Fragilis often suffer from cramps in the abdominal region which is highly discomforting and causes much pain. [primehealthchannel.com]
Initial signs and symptoms include diarrhea and abdominal cramping. [doctoroz.com]
Here are the most common signs and symptoms of parasite infection: Diarrhoea Constipation Mushy or very loose stools Rectal itching Nausea Abdominal pain Abdominal cramps Bloating Flatulence or lots of gas Here are the less common signs and symptoms, [yeastinfection.org]
Cardiovascular
- Heart Disease
disease Hospital infections Immunisation Infectious diseases Ways infectious diseases spread Exclusion from childcare, preschool, school and work Handling blood and other body substances Breadcrumbs Introduction Dientamoeba fragilis (D. fragilis) is [sahealth.sa.gov.au]
Skin
- Pruritus
Persons infected may have diarrhea with blood or mucus, abdominal pain, and anal pruritus. This ameba has been found inside the eggs of pinworms. The eggs may act as a vector. [medical-dictionary.thefreedictionary.com]
Pruritus Severe itching, often of undamaged skin. Constipation Difficult, incomplete, or infrequent evacuation of dry, hardened feces from the bowels. [digitalnaturopath.com]
Other GI complaints include the following: Anorexia Weight loss Nausea Vomiting Bloating Flatulence Alternating constipation and diarrhoea Non-intestinal complaints include the following: Headache Fever Malaise Fatigue Irritability Weakness Pruritus Urticaria [clinicaleducation.org]
Table 1: Signs and Symptoms of Parasitic Infections • Abdominal pain and cramps • Low back pain • Anorexia • Pruritus ani • Autoimmune disease • Rash • Chronic fatigue • Skin itching • Constipation • Urticaria • Depressed secretory IgA • Weight loss • [positivehealth.com]
Neurologic
- Irritability
First described in 1918 by Jepps and Dobell, it has emerged as an important and misdiagnosed cause of chronic gastrointestinal illnesses such as diarrhea and "irritable-bowel-like" gastrointestinal disease. [taylorfrancis.com]
September 05, 2016 / Sydney Compounding Irritable Bowel Syndrome and Dientamoeba Fragilis Diarrhoea-predominant irritable bowel syndrome (IBS) is a common disorder which is characterised by diarrhoea, cramping, sub-umbilical discomfort, symptom improvement [sydneycompounding.com]
In vitro susceptibility of Blastocystis hominis isolated from patients with irritable bowel syndrome. Br J Biomed Sci. 2004;61(2):75-7. PMID: 15250669 BJMP 2013;6(1):a608 3 Roberts et al. [rebelhealthtribe.com]
It may invoke an eosinophilic inflammatory response in the colonic mucosa; thus, symptoms are related to the superficial colonic mucosal irritation. [emedicine.medscape.com]
- Dizziness
The clinical consequences of B. hominis infection are mainly diarrhea or abdominal pain with nonspecific gastrointestinal symptoms such as nausea, anorexia, vomiting, weight loss, lassitude, dizziness, and flatulence. [badbugs.org]
It includes digestive symptoms like bloating, abdominal pain, nausea and so on, but also other seemingly unrelated ones like chronic fatigue, depression, insomnia, weight loss, dizziness, and even intense carbohydrate cravings. [doctorvolpe.com]
Other symptoms may include nausea, vomiting, headaches, dizziness, weight-loss, chronic fatigue, depression, low-grade fever, bloody stools and anal itching. D. fragilis has also been implicated in some cases of indeterminate colitis. [primalhealth.co]
Signs of a parasite infection include all of these IBS-like symptoms and patients also report dizziness and fatigue, skin rashes and different forms of arthritis. [rebelhealthtribe.com]
Blastocystis can cause cramps, vomiting, sleeplessness, nausea, weight loss, anorexia, dizziness, lassitude, flatulence and puritus. [positivehealth.com]
- Lethargy
Children signs of dehydration, such as thirst and decreased urination, lethargy, dry mouth, sunken eyes, feeling faint on standing fever abdominal pain bloody diarrhoea any symptoms in a child less than 12 months of age. [sahealth.sa.gov.au]
- Perseveration
To make major inroads, you’ll require patience, perseverance and education on how the body works to naturally expel the parasites, combined with the help provided by specific remedies and herbs. [naturimedica.com]
Workup
Other causes of eosinophilia were considered but were excluded given the negative serological workup, negative Harada-Mori and agar plate cultures for Strongyloides, and the completion of 43 fixed stool specimens (range, 6–11 per family member). [academic.oup.com]
Microbiology
- Giardia Lamblia
125.00 EUR E - Dientamoeba fragilis and Giardia lamblia (PACK) € 125.00 EUR F - Giardia lamblia and Blastocystis hominis (PACK) € 125.00 EUR G - Dientamoeba fragilis, Blastocystis hominis and Giardia lamblia (PACK) € 160.00 EUR Stap 2. [parasiet.com]
Anecdotal evidence suggests that many patients infected with these parasites are indeed being misdiagnosed as having IBS ”. (5) Giardia lamblia “Studies from non-Asian countries showed that Giardia lamblia infection could lead to development of functional [digestivewellness.com.au]
Giardia lamblia trophozoites: Cute when they’re not in your intestine. smiling all the way down your GI track I have always had a fondness for looking at Giardia [pinterest.es]
Giardia lamblia can be widely distributed throughout the body. [positivehealth.com]
Similar to some other parasites (eg, Cyclospora cayetanensis, Giardia lamblia, Cryptosporidium parvum), the parasite D fragilis has been demonstrated to cause disease in humans regardless of their immune status. [emedicine.medscape.com]
- Entamoeba Histolytica
Entamoeba Histolytica is another parasite which not only causes dysentery but also been recently associated with Crohn’s Disease. [custommedicine.com.au]
0.704 Entamoeba coli 2c 0 0.98 0.206 Hymenolepis nana 1 0 0.49 0.373 Total 31d 4 17.1 0.008* a Three coinfections (one with Giardia sp., one with Entamoeba histolytica and one with Giardia sp. and Entamoeba coli). b Four coinfections (one with Entamoeba [parasitol.kr]
histolytica Diphyllobothrium: The largest known tapeworms that can infect people Parasites 101: Swimmer’s itch Other podcasts about parasites: Raccoon roundworm: The rare and potentially lethal zoonosis A look at the neglected tropical disease, Chagas [outbreaknewstoday.com]
Microsporidial enteritis Retortamonas intestinalis infection Sarcocystosis Sarcosporidiosis Applies To Amebiasis due to organisms other than Entamoeba histolytica ICD-9-CM Volume 2 Index entries containing back-references to 007.8 : [icd9data.com]
In each of these three groups the following protozoa were found: Entamoeba histolytica, E. coli, Endolimax nana, Iodamoeba bütschlii, Giardia intestinalis, and Chilomastix mesnili. [cambridge.org]
Colonoscopy
- Colitis
(acute) (catarrhal) (chronic) (noninfective) (hemorrhagic) K52.9 - see also Enteritis ICD-10-CM Diagnosis Code K52.9 Noninfective gastroenteritis and colitis, unspecified 2016 2017 2018 2019 Billable/Specific Code Applicable To Colitis NOS Enteritis [icd10data.com]
DF has also been implicated as a cause of colitis in adults. Allergic colitis with peripheral eosinophilia secondary to DF infection has also been described. Colonization may occur without development of disease. [digitalnaturopath.com]
Dientamoeba fragilis masquerading as allergic colitis. J Pediatr Gastroenterol Nutr. 1998 Jan. 26(1):16-20. [QxMD MEDLINE Link]. Johnson EH, Windsor JJ, Clark CG. [emedicine.medscape.com]
A year ago, when returning from an expedition to the “interior” he developed an acute colitis which lasted four days. During this disorder the stools were examined several times by competent men and found negative for amebae and other protozoa. [ajtmh.org]
DF has also been implicated as a cause of colitis in adults. < DOWNLOAD FULL ARTICLE > [sydneycompounding.com]
Treatment
As a result, there is no consensus about the drug of choice for treatment of D. fragilis infection or whether treatment is necessary for all cases. [journals.lww.com]
The most common anti-microbial used for treatment was metronidazole (n=41), with complete resolution of symptoms and clearance of parasite occurring in 85% of cases. A treatment failure rate occurred in 15% of those treated with metronidazole. [opus.lib.uts.edu.au]
Almost a century after its observation, and although it has been described around the world, there are still doubts about its life cycle, prevalence, pathogenicity, and treatment. [taylorfrancis.com]
The difference in treatment between lyme/cpn and these bugs if that, if effective, the cure takes 10 days. [cpnhelp.org]
Etiology
This chapter provides state-of-the-art overviews on foodborne diseases caused by Dientamoeba fragilis in relation to their etiology, biology, epidemiology, clinical presentation, pathogenesis, diagnosis, treatment, and prevention. [taylorfrancis.com]
It is a flagellate protozoan that is an uncommon etiology of gastrointestinal disease. Primarily characterized by diarrhea and abdominal pain, other symptoms such as flatulence, nausea, vomiting, fatigue, malaise, and weight loss occur. [ncbi.nlm.nih.gov]
“Irritable bowel syndrome: in search of an etiology: role of Blastocystis hominis”. Am. J. Trop. Med. Hyg. 70 (4): 383–5. PMID 15100450. Giacometti A, Cirioni O, Fiorentini A, Fortuna M, Scalise G (1999). [digestivewellness.com.au]
Research suggests that parasitic organisms act as etiologic agents of gut inflammation and dysfunction. One study found B. hominis to be present four times more frequently in IBS patients compared with control subjects. [rebelhealthtribe.com]
Irritable Bowel Syndrome: In search of an etiology: role of B. hominis. Javed Yakoob et al. Am. J. Trop. Med. [badbugs.org]
Epidemiology
Table 1 describes clinical and epidemiological characteristics of patients. [ajtmh.org]
This chapter provides state-of-the-art overviews on foodborne diseases caused by Dientamoeba fragilis in relation to their etiology, biology, epidemiology, clinical presentation, pathogenesis, diagnosis, treatment, and prevention. [taylorfrancis.com]
C-profiling is a method that has been used for the molecular epidemiological typing of D. fragilis that targets the internal transcribed spacer regions (ITS).6 The ITS regions have been used extensively for phylogenetic analyses and as a molecular epidemiological [ncbi.nlm.nih.gov]
Journal of Hygiene, Epidemiology, Microbiology, and Immunology 35, 27 – 34. Rayan, H. Z., Ismail, O. A. and El Gayar, E. K. ( 2007 ). [cambridge.org]
Molecular epidemiology of Dientamoeba fragilis. Acta trop 2018; 184: 73-77. https://doi.org/10.1016/j.actatropica.2017.06.029 Wong ZW, Faulder K, Robinson JL. Does Dientamoeba fragilis cause diarrhea? A systematic review. [koreascience.kr]
Pathophysiology
Pathophysiology Organisms infect mucosal crypts of the large intestine that are located close to the mucosal epithelium, from the cecum to the rectum; however, the cecum and proximal colon are usually affected. [emedicine.medscape.com]
Prevention
Teach children the importance of washing hands to prevent infection. [webmd.com]
Prevention People with confirmed D. fragilis without symptoms do not need to be excluded. Exclude people with diarrhoea from childcare, preschool, school and work until there has been no diarrhoea for 24 hours. [sahealth.sa.gov.au]
This chapter provides state-of-the-art overviews on foodborne diseases caused by Dientamoeba fragilis in relation to their etiology, biology, epidemiology, clinical presentation, pathogenesis, diagnosis, treatment, and prevention. [taylorfrancis.com]
How can I prevent Dientamoeba fragilis infection? Wash your hands with soap and warm water, especially after using the toilet, changing baby diapers, and before preparing foods. Teach children the importance of washing hands to prevent infection. [algomapublichealth.com]
How can I prevent Dientamoeba fragilis infection? Wash your hands with soap and warm water after using the toilet, after changing diapers, and before preparing or eating food. Teach children the importance of washing hands to prevent infection. [cdc.gov]