Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea
Background. Balantidiasis, due to its rare human incidence and nonspecific clinical presentations often neglected from the diagnosis considerations; however, a potent pathogen. Herein, we report a case of neglected balantidiasis presumed as antibiotic-associated diarrhoea. Case Presentation. A 27-ye...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2022/6013151 |
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| author | Sreska Shrestha Priyatam Khadka |
| author_facet | Sreska Shrestha Priyatam Khadka |
| author_sort | Sreska Shrestha |
| collection | DOAJ |
| description | Background. Balantidiasis, due to its rare human incidence and nonspecific clinical presentations often neglected from the diagnosis considerations; however, a potent pathogen. Herein, we report a case of neglected balantidiasis presumed as antibiotic-associated diarrhoea. Case Presentation. A 27-year-old policeman presented in Sindhuli Hospital, with a chief complaint of epigastric pain, nausea, decreased appetite for several days, and loose stools (3-4 episodes per day). Previously, he was under antibiotic therapy (amoxycillin) for tonsillitis. The health post clinician made a presumptive diagnosis as the side effects of the antibiotics; however, the symptoms were not resolved. Complete blood cell count (CBC) was normal; renal function test (RFT) and liver function (LFT) were within the normal ranges. Ultrasonography of the abdomen and ECG (electrocardiogram) showed normal findings. However, on routine stool actively motile trophozoites of Balantidium coli (B. coli) were seen. He was treated successfully with metronidazole 750 mg tabs orally three times daily for 5 days. Conclusion. Protozoal infections, like balantidiasis, might be excluded from the diagnostic consideration in antibiotic-associated diarrhoea cases. Therefore, meticulous review of nonspecific clinical presentation and validation of an etiology with support of diagnostic tests are mandatory. |
| format | Article |
| id | doaj-art-0292fb09b81442698a24fecb70b00ec5 |
| institution | Kabale University |
| issn | 2090-6633 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-0292fb09b81442698a24fecb70b00ec52025-02-03T05:50:31ZengWileyCase Reports in Infectious Diseases2090-66332022-01-01202210.1155/2022/6013151Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated DiarrhoeaSreska Shrestha0Priyatam Khadka1Sindhuli HospitalTri-Chandra Multiple CampusBackground. Balantidiasis, due to its rare human incidence and nonspecific clinical presentations often neglected from the diagnosis considerations; however, a potent pathogen. Herein, we report a case of neglected balantidiasis presumed as antibiotic-associated diarrhoea. Case Presentation. A 27-year-old policeman presented in Sindhuli Hospital, with a chief complaint of epigastric pain, nausea, decreased appetite for several days, and loose stools (3-4 episodes per day). Previously, he was under antibiotic therapy (amoxycillin) for tonsillitis. The health post clinician made a presumptive diagnosis as the side effects of the antibiotics; however, the symptoms were not resolved. Complete blood cell count (CBC) was normal; renal function test (RFT) and liver function (LFT) were within the normal ranges. Ultrasonography of the abdomen and ECG (electrocardiogram) showed normal findings. However, on routine stool actively motile trophozoites of Balantidium coli (B. coli) were seen. He was treated successfully with metronidazole 750 mg tabs orally three times daily for 5 days. Conclusion. Protozoal infections, like balantidiasis, might be excluded from the diagnostic consideration in antibiotic-associated diarrhoea cases. Therefore, meticulous review of nonspecific clinical presentation and validation of an etiology with support of diagnostic tests are mandatory.http://dx.doi.org/10.1155/2022/6013151 |
| spellingShingle | Sreska Shrestha Priyatam Khadka Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea Case Reports in Infectious Diseases |
| title | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
| title_full | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
| title_fullStr | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
| title_full_unstemmed | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
| title_short | Neglected Case of Human Balantidiasis: Presumed as Antibiotic-Associated Diarrhoea |
| title_sort | neglected case of human balantidiasis presumed as antibiotic associated diarrhoea |
| url | http://dx.doi.org/10.1155/2022/6013151 |
| work_keys_str_mv | AT sreskashrestha neglectedcaseofhumanbalantidiasispresumedasantibioticassociateddiarrhoea AT priyatamkhadka neglectedcaseofhumanbalantidiasispresumedasantibioticassociateddiarrhoea |