Association of Blastocystis subtype 3 and 1 with patients from an Oregon community presenting with chronic gastrointestinal illness
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Chronic gastrointestinal illness of unknown etiology is a significant problem in the United States. Using a real-time LightCycler PCR assay we detected Blastocystis in nine patients from a metropolitan area of Corvallis, Oregon who presented with diarrhea, abdominal pain, fatigue, joint pain, skin rash and psychiatric co-morbidity. Phylogenetic analysis identified six infections with Blastocystis sp. subtype 3, and one with subtype 1, using the standard Stensvold nomenclature. Most patients with subtype 3 had previously tested negative with conventional parasitological diagnostics, had been symptomatic for over 4 years, and reported antibiotic failure.
KeywordsIrritable Bowel Syndrome Skin Rash Tinidazole Nitazoxanide Blastocystis Infection
We would like to thank Dr. Greg Hiser for many discussions about the clinical symptoms and real-time PCR.
The work reported herein was funded and performed under United States Air Force Surgeon General-approved Clinical Investigation No. FDG20070010N. This study was also funded by the Blastocystis Research Foundation. The experiments comply with the current laws of the country in which they were performed.
The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U.S. Government, the Department of Defense, or the Department of the Air Force.
- Low GC (1916) Two chronic amoebic dysentery carriers treated by emetine, with some remarks on the treatment of Lamblia, Blastocystis and E. coli infections. J Trop Med Hyg 19:29–34Google Scholar