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Balantidium coli محمد صبري.د www.dvmdocs.webs.com Domain: eukarya Kingdom: chromalveolata Superphylum: alveolata Phylum: ciliophora Class: litostomatea order: versbuliferida Family: balantididae Genus: balantidium Species: balantidium coli www.dvmdocs.webs.com Worldwide distribution Host spectrum includes human beings,Monkeys,dogs and pigs Mostly infect at Cecum , large intestine especially prevalent in tropics rarely exceeds 1% common in pigs and monkeys unlikely to be reservoirs www.dvmdocs.webs.com Trophozites ; they are ovoid and large size Cilia: presence of cilia on the cell surface Cytostome Bean shaped macronucleus Smaller micronucleus www.dvmdocs.webs.com www.dvmdocs.webs.com Balantidium coli cyst www.dvmdocs.webs.com Balantidium trophozite www.dvmdocs.webs.com Balantidium www.dvmdocs.webs.com trophozite www.dvmdocs.webs.com Both asexual and sexual reproduction present Asexual by binary fission Sexual by conjugation Conjugation two opposite mating types pair & exchange genetic material www.dvmdocs.webs.com www.dvmdocs.webs.com Cysts are the stage responsible for transmission of balantidiasis . The host most often acquires the cyst through ingestion of contaminated food or water . Following ingestion, excystation occurs in the small intestine, and the trophozoites colonize the large intestine . The trophozoites reside in the lumen of the large intestine of humans and animals, replicate by binary fission, during which conjugation may occur . www.dvmdocs.webs.com Trophozoites undergo encystation to produce infective cysts . Some trophozoites invade the wall of the colon and multiply. Some return to the lumen and disintegrate. Mature cysts are passed with feces . www.dvmdocs.webs.com www.dvmdocs.webs.com Balantidium coli produces proteolytic enzymes that break down and digest the intestinal epithelium. Colon ulceration develops which allows for infiltration by lymphocytes and leukocytes. Hemorrhage and secondary bacterial infections will develop next. Perforation of the large intestine and appendix will occur followed by death. www.dvmdocs.webs.com Clinical Signs Mild infections occur with diarrhea, Abdominal pain Alternating periods of constipation Ulceration of the gut wall Diagnosis Cysts-formed stools Active trophs-diarrheic stools www.dvmdocs.webs.com Treatment Tetracycline drug of choice,500mg four time a day for 10 day Iodoquinol or metronidazole may be used as alternatives Metronidazole has not produced consistent results www.dvmdocs.webs.com