Balantidium – this is a protozoal disease characterized by ulcerative lesions of the colon, severe course and high mortality at late begun treatment.
Agent — balantidia — belongs to the class of infusoria, found in vegetative form and in the form of cysts, steady in the environment. Natural media balantidia are predominant.
human Infection occurs by ingestion of balantidia in the digestive tract, where they can exist for a long time (in the small intestine) without causing disease. Some infected individuals balantidia penetrate into the tissues, causing hemorrhage, foci of necrosis and ulcers. They have irregular shape, rugged, and a thickened edge, uneven bottom, covered with bloody-purulent coating, Can lead to perforation of ulcers, peritonitis.
Acute form of the disease characterized fever, General intoxication symptoms and signs of bowel (abdominal pain, diarrhea, flatulence, tenesmus possible). It is noted in the faeces an admixture of mucus and blood.
Characterized by spasm and tenderness of the colon, enlargement of the liver. With sigmoidoscopy revealed focal infiltrativnyh process. In severe marked General intoxication, high fever, stool up to 20 times a day with mucus and blood with putrid odor. Patients quickly lose weight, sometimes symptoms of peritoneal irritation.
When you install sigmoidoscopy extensive ulcerative lesions. In chronic balantidiasis symptoms of intoxication are expressed weakly, a body temperature is normal, the stool up to 2−3 times a day, liquid, with mucus, sometimes mixed with blood. Tenderness on palpation is predominantly caecum and ascending colon. With sigmoidoscopy may be typical of ulcerative changes.
Confirmation of the diagnosis is the detection of parasites in feces.
Etiotropic drugs used in the form of a 2-3 five-day cycles. Appoint monomitsin 0.15 g 4 times a day, oxytetracycline 0.4 g 4 times a day, metronidazole 0.5 g 3 times a day. The interval between cycles of 5 days. The prognosis of modern therapy is favorable. Without the use of antiparasitic therapy, the mortality rate reached 10-12%.
hygienic measures in the care of the pigs. Detection and treatment of patients with balantidiozom people. General preventive measures are the same as in dysentery.