BLASTOCYSTIS HOMINIS IN DIABETIC AND NON DIABETIC PATIENTS WITH IRRITABLE BOWEL SYNDROME IN BENI-SUEF CITY, EGYPT

Citation:
Ibrahim, S. S., M. A. M. Ismail, M. A. Shaker, D. M. KHALILI, and A. Raafat, "BLASTOCYSTIS HOMINIS IN DIABETIC AND NON DIABETIC PATIENTS WITH IRRITABLE BOWEL SYNDROME IN BENI-SUEF CITY, EGYPT", J. Egypt. Soc. Parasitol. (JESP), vol. 50, issue 3, pp. 683 – 688, 2020.

Abstract:

Blastocystis is an opportunistic infection that is considered to cause gastro-intestinal sympt-
oms, including inflammatory bowel syndrome (IBS). It was also found that diabetic patients might be at a higher risk of infection with intestinal parasites causing gastro-intestinal sympt-
oms especially Blastocystis. This study assessed the rate of Blastocystis infection in patients
suffering from IBS associated with diabetes mellitus (DM), in comparison with the non-diabe-
tic IBS group. Two hundred stool samples were collected. All the participants were IBS-dia-
gnosed patients. It is noted that 100 were without any history of chronic diseases based on his-
tory taking, while the other 100 were known to be diabetic. Blastocystis was diagnosed by di-
rect microscopy of wet preparations; Lugol's iodine staining after concentration, and Modified
Jones' Culture. Blastocystis was detected in 37%, 65%, & 87% samples, respectively in IBS di-
abetic patients. But, the parasite was found in 21%, 25%, & 42% samples, respectively in IBS
non-diabetic patients. The only considerable risk factor for Blastocystis infection was the pres-
ence of DM, as it increased the possibility of infection more than 9 times.
Key words: Diabetic patients, Blastocystis hominis, Irritable bowel syndrome.