Blastocystis spp. In patients admitted to the internal medicine rooms of the “Joaquín Albarrán” hospital in Havana, Cuba, july 2011-june 2012
DOI:
https://doi.org/10.17533/udea.hm.323662Keywords:
Blastocystis spp., diarrheal diseaseAbstract
Introduction: Blastocystis spp. is a parasite that is usually associated with diarrheal disease. The aim of this study was to clinically characterize patients infec-ted with Blastocystis spp., who were treated in the in-ternal medicine wards at of the “Joaquín Albarrán” Hospital in Havana, Cuba between 2011-2012.
Methods: a cross-sectional descriptive study was conducted to identify Blastocystis spp. by examining feces from patients who were treated in the internal medicine wards at the “Joaquín Albarrán” Hospital in Havana, Cuba, between July 2011 and June 2012.
Results: it was found that the frequency of diarr-heal disease was 13.3 per 1000 admitted patients at the internal medicine unit. Fifty-two percent (52.4%) of patients with diarrheal disease had Blastocystis spp., as identified in their feces through microbiological analy-sis. Additionally, according to their frequency, the di-seases related to the positive cases of Blastocystis spp. were: anemia, arterial hypertension, diabetes mellitus type 2, ischemic cardio pathology and chronic liver di-sease. Fifty-eight percent (58%) of the patients infec-ted with Blastocystis were treated with antibiotics, and 86.1% of the cases were solved with such treatment.
Conclusions: the results of this study suggest that diarrheal disease may be caused by Blastocystis spp. Such finding should be thus considered in the diag-nostic algorithm of this pathology.
Downloads
References
Batista-Kushinski O. Incidencia del Blastocystis homi-nis en pacientes ingresados en Salas de Medicina, Hos-pital Joaquín Albarrán, julio 2011-junio 2012. [Trabajo de Tesis para optar por el Título de Especialista en Pri-mer Grado en Medicina Interna]. La Habana: Instituto Superior de Ciencias Médicas; 2012.
Llop-Hernández A, Valdés-Dapena MM, Zuazo-Sil-va JL. Microbiología y Parasitología Médicas. Ciudad de la Habana: Ciencias Médicas; 2001.
Tan TC, Suresh KG. Amoeboid form of Blastocystis hominis —a detailed ultrastructural insight. J Parasitol Res. 2006;99:437-442.
Nuñez FA, Ginorio D, Finlay CM. Control de la Calidad del Diagnóstico Coproparasitológico en la provincia de Ciudad Habana, Cuba. Cad Saúde Públ. 1997;13:67-72.
Castro J, Yovera J, Núñez F. Control de Calidad del Diagnóstico Coproparasitológico en Centros de Salud de Lima y Callao. Rev Peruana Epidemiol. 1995;8:18-22.
Traviezo-Valles L, Triolo-Mieses M, Agobian G. Pre-dominio de Blastocystis hominis sobre otros enteropa-rásitos en pacientes del municipio Palavecino, estado Lara, Venezuela; Rev Cubana Med Trop. 2006;58:14-8.
Holder-Orta R, Zelada-Valdés A, Jérez-Barceló Y.Reporte de casos. Pacientes con Blastocystis hominis Atendidos en el Hospital Pediátrico Docente William Soler. [Tesis de grado] La Habana: Instituto Superior de Ciencias Médicas; 2005.
El Masry N, Bassily S, Parid Z, Aziz AG. Potential clini-cal significance of Blastocystis hominis in Egypt. Trans R Soc Trop Med Hyg. 1990;84:695.
Ponce de León R, Stevaz M, Zdero M. Importancia del diagnóstico de Blastocystis hominis en el examen parasitológico de heces. Rev Lat Amer Microbiol. 1991;33:159-164.
Barahona-Rondon L, Maguiña-Vargas C, Náquira-Velade C, Tarashima IA, Tello R. Blastocystosis huma-na: estudios prospectivos; sintomatología y factores epidemiológicos asociados. Rev Gastroenterol Perú. 2003;23:29-35.
Gálvez-Valcárcel JR, Piñol-Jiménez F, Williams-se-rrano SC, Piñol-Jiménez O. Blastocystis hominis en pacientes atendidos en los Centros de Diagnósticos Integrales, Portales Médicos. 2010;5(20).
Chouro L, Diaz I, Casas M, Sanchez M, Tor-Res L, Luna M, et al. Epidemiología y patogenicidad de Blas-tocystis hominis. Kasmera. 1999; 27:77-102.
Rodríguez E, Materos B, Gonzalez JC, Aguilar YM, Alarcon E, Mendoza AA, et al. Transición parasita-ria a Blastocystis hominis en niños de la zona centro del estado de Guerrero, México. Parasitol Latinoam. 2008;63:20-28.
Martínez-Barbabosa I, Gutiérrez-Quiroz M, Ruiz-González L, Ruiz-Hernández LA, Gutiérrez-Cárde-nas M, Gaona E. Blastocystis hominis y su relación con el estado nutricional de escolares en una comunidad de la sierra de Huayacocotla, Veracruz, México. Rev Bio-med. 2010;21:77-84.
Lazarte-Cuba RJ, Jove-Oblitas W, Soto-Palomino C.Tratamiento comparativo de la infección por Blasto-cystis hominis con Metronidazol y Secnidazol. BolSoc Peru Med Int. 1999;12:215-218.
Nimri LF. Evidence of an epidemic of Blastocystis ho-minis infections in preschool children in northern Jor-dan. J Clin Microbiol. 1993;31:2706-2708.
Nimri L, Batchoun R. Intestinal colonization of symp-tomatic and asymptomatic schoolchildren with Blas-tocystis hominis. J Clin Microbiol. 1994;32:2865-2866.