Balantidiasis colónica: reporte de un caso fatal y revisión de la literatura

Translated title of the contribution: Colonic balantidiasis: report of a fatal case and review of the literature

Pa Úl Gomez Hinojosa, Jorge Espinoza-Ríos, Andrea Carlin Ronquillo, José Luis Pinto Valdivia, Yessenia Salas Dueñas, Wilfredo Zare Morales

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Balantidiasis is a zoonosis produced by Balantidium coli, which inhabits the large intestine of the pig and man. Infection is uncommon in humans and mainly affects the colon. It occurs more frequently in developing countries, tropical and subtropical regions. Colonic balantidiasis can occur in most cases asymptomatically and reach in the most severe cases such as dysenteric diarrhea that can be complicated by low digestive bleeding and even perforation. We present the case of a 72-year-old man, from the Peruvian highlands, who was a farmer and breeder of swine and sheep, who came for 3 months of illness, initially characterized by liquid stools with bloodless mucus, abdominal pain, nausea, vomiting and in the last month of illness he presents dysenteric diarrhea. Colonoscopy was performed due to suspicion of infectious colitis, Balantidium coli trophozoites were found in the fresh sample and colonic tissue biopsy. Patient receives treatment with amebicide and antibacterial without clinical improvement, presenting as a complication multiple perforation in the sigmoid colon, treated with resection and terminal colostomy. Finally, the patient died despite receiving medical and surgical treatment.

Translated title of the contributionColonic balantidiasis: report of a fatal case and review of the literature
Original languageSpanish
Pages (from-to)284-287
Number of pages4
JournalRevista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
Volume39
Issue number3
StatePublished - 1 Jul 2019
Externally publishedYes

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