A Parasite That Should not be Neglected in Patients with Ulcerative Colitis: Entamoeba histolytica.

Q3 Medicine Turkiye parazitolojii dergisi Pub Date : 2025-01-22 DOI:10.4274/tpd.galenos.2025.81894

Murat Soylu, Abdurrahman Ekici, Selahattin Aydemir, Şehriban Yürektürk, Önder Akkaş

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Abstract

Objective: To determine the prevalence of amoebiasis, which has been neglected in recent years according to the World Health Organization, in ulcerative colitis patients and investigate the relationship between amoebiasis and ulcerative colitis.

Methods: The study included 150 individuals, including 100 ulcerative colitis patients and 50 healthy individuals without gastrointestinal complaints. The samples collected were first analyzed macroscopically and then using native-Lugol, trichrome staining, and enzyme-linked immunosorbent assay (ELISA).

Results: In the microscopic examination, Entamoeba spp. cysts were found in 22% of the ulcerative colitis patients and 2% of those in the control group. Entamoeba histolytica (E. histolytica) adhesin antigen was detected by ELISA in 31% of the ulcerative colitis patients and 4% of those in the control group. A significant correlation was found between the incidence of E. histolytica and ulcerative colitis in the statistical evaluation.

Conclusion: E. histolytica should not be neglected in ulcerative colitis patients and should be investigated in the presence of diarrhea, bloody diarrhea, and abdominal pain.

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溃疡性结肠炎患者不可忽视的寄生虫：溶组织内阿米巴原虫

目的：了解近年来被世界卫生组织忽视的溃疡性结肠炎患者阿米巴病的患病率，探讨阿米巴病与溃疡性结肠炎的关系。方法：研究纳入150例个体，其中溃疡性结肠炎患者100例，无胃肠道疾病的健康个体50例。收集的样品首先进行宏观分析，然后使用原生lugol，三色染色和酶联免疫吸附试验（ELISA）。结果：溃疡性结肠炎患者镜检检出内阿米巴囊肿的比例为22%，对照组为2%。酶联免疫吸附法检测溶组织内阿米巴黏附抗原的溃疡性结肠炎患者为31%，对照组为4%。在统计评价中发现溶组织杆菌和溃疡性结肠炎的发生率有显著的相关性。结论：在溃疡性结肠炎患者中不应忽视溶组织芽胞杆菌，应在出现腹泻、血性腹泻和腹痛时进行调查。

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