IRRITABLE BOWEL SYNDROME: IN SEARCH OF AN ETIOLOGY: ROLE OF BLASTOCYSTIS HOMINIS

JAVED YAKOOB Section of Gastroenterology, Departments of Medicine and Pathology, Aga Khan University Hospital, Karachi, Pakistan

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WASIM JAFRI Section of Gastroenterology, Departments of Medicine and Pathology, Aga Khan University Hospital, Karachi, Pakistan

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NADIM JAFRI Section of Gastroenterology, Departments of Medicine and Pathology, Aga Khan University Hospital, Karachi, Pakistan

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RUSTAM KHAN Section of Gastroenterology, Departments of Medicine and Pathology, Aga Khan University Hospital, Karachi, Pakistan

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MUHAMMAD ISLAM Section of Gastroenterology, Departments of Medicine and Pathology, Aga Khan University Hospital, Karachi, Pakistan

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M. ASIM BEG Section of Gastroenterology, Departments of Medicine and Pathology, Aga Khan University Hospital, Karachi, Pakistan

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VIQAR ZAMAN Section of Gastroenterology, Departments of Medicine and Pathology, Aga Khan University Hospital, Karachi, Pakistan

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This study was designed to examine stool specimens of irritable bowel syndrome (IBS) patients for Blastocystis hominis, a common intestinal parasite. One hundred fifty patients were enrolled, 95 IBS cases and 55 controls. These patients provided a medical history, and underwent physical and laboratory evaluations that included stool microscopy and culture for B. hominis and colonoscopy. The 95 cases (51 males and 44 females) had a mean ± SD age of 37.8 ± 13.2 years. Stool microscopy was positive for B. hominis in 32% (30 of 95) of the cases and 7% (4 of 55) of the controls (P = 0.001). Stool culture was positive in 46% (44 of 95) of the cases and 7% (4 of 55) of the controls (P < 0.001). Stool culture for B. hominis in IBS was more sensitive than microscopy (P < 0.001). Blastocystis hominis was frequently demonstrated in the stool samples of IBS patients; however, its significance in IBS still needs to be investigated. Stool culture has a higher positive yield for B. hominis than stool microscopy.

Author Notes

Reprint requests: Javed Yakoob, Section of Gastroenterology, Department of Medicine, Aga Khan University Hospital, Stadium Road, Karachi-74800, Pakistan, Telephone: 92-21-493-0051 extension 4679, Fax: 92-21-493-4294, E-mail: yakoobjaved@hotmail.com.
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