Investigation of Dientamoeba fragilis Frequency in Faecal Samples of Patients with Enterobius vermicularis Infection by Polymerase Chain Reaction

Objective:Dientamoeba fragilis (D. fragilis) is a flagellated protozoan with an amoeba-like morphology, located in the gastrointestinal tract. The hypothesis was that the parasite was transported by Enterobius vermicularis (E. vermicularis) eggs. This study aimed to determine the association of D. f...

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Main Authors: İbrahim Yıldız, Sema Ertuğ, Evren Tileklioğlu, Erdoğan Malatyalı, Özgür Güçlü, Hatice Ertabaklar
Format: Article
Language:English
Published: Galenos Yayinevi 2021-09-01
Series:Türkiye Parazitoloji Dergisi
Subjects:
Online Access: http://www.turkiyeparazitolderg.org/archives/archive-detail/article-preview/nvestigation-of-idientamoeba-fragilis-i-frequency-/48457
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author İbrahim Yıldız
Sema Ertuğ
Evren Tileklioğlu
Erdoğan Malatyalı
Özgür Güçlü
Hatice Ertabaklar
author_facet İbrahim Yıldız
Sema Ertuğ
Evren Tileklioğlu
Erdoğan Malatyalı
Özgür Güçlü
Hatice Ertabaklar
author_sort İbrahim Yıldız
collection DOAJ
description Objective:Dientamoeba fragilis (D. fragilis) is a flagellated protozoan with an amoeba-like morphology, located in the gastrointestinal tract. The hypothesis was that the parasite was transported by Enterobius vermicularis (E. vermicularis) eggs. This study aimed to determine the association of D. fragilis and E. vermicularis with the genotypes of the identified strain of D. fragilis. Results of trichrome staining were compared with those of polymerase chain reaction (PCR), which is widely used in the diagnosis of D. fragilis.Methods:A total of 391 samples were obtained. The stool and cellophane slide samples were sent together to the Parasitology Department Laboratory, Faculty of Medicine, Aydın Adnan Menderes University, between 1 October 2017 and 1 October 2018. Stool samples of all patients with E. vermicularis (n=74) and without E. vermicularis (n=74) infection were used. All samples were examined for the presence of D. fragilis by trichrome staining and PCR. The 18S ribosomal RNA region of D. fragilis isolates was sequenced. Demographic characteristics and clinical findings of the patients were evaluated.Results:D. fragilis was detected in 42 (28.37%) of 148 samples; 28 (66.6%) of them were detected in patients with E. vermicularis infection. The coexistence of two parasites was significant (p<0.05). All isolates sequenced were genotype 1. No significant relationship was found between the presence of parasites and clinical findings, living area and gender (p>0.05).Conclusion:D. fragilis is frequently associated with E. vermicularis, so the presence of D. fragilis should be also considered in affected patients. The use of high-sensitivity molecular methods such as PCR is important in preventing false results.
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spelling doaj.art-7e85659d43bd4602b1c268e1095622d92023-02-15T16:10:43ZengGalenos YayineviTürkiye Parazitoloji Dergisi2146-30772146-30772021-09-0145319520010.4274/tpd.galenos.2021.725713049054Investigation of Dientamoeba fragilis Frequency in Faecal Samples of Patients with Enterobius vermicularis Infection by Polymerase Chain Reactionİbrahim Yıldız0Sema Ertuğ1Evren Tileklioğlu2Erdoğan Malatyalı3Özgür Güçlü4Hatice Ertabaklar5 Aydın Adnan Menderes Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Aydın, Türkiye Aydın Adnan Menderes Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Aydın, Türkiye Aydın Adnan Menderes Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Aydın, Türkiye Aydın Adnan Menderes Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Aydın, Türkiye Aydın Adnan Menderes Üniversitesi Üniversitesi, Sultanhisar Meslek Yüksek Okulu, Aydın, Türkiye Aydın Adnan Menderes Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Aydın, Türkiye Objective:Dientamoeba fragilis (D. fragilis) is a flagellated protozoan with an amoeba-like morphology, located in the gastrointestinal tract. The hypothesis was that the parasite was transported by Enterobius vermicularis (E. vermicularis) eggs. This study aimed to determine the association of D. fragilis and E. vermicularis with the genotypes of the identified strain of D. fragilis. Results of trichrome staining were compared with those of polymerase chain reaction (PCR), which is widely used in the diagnosis of D. fragilis.Methods:A total of 391 samples were obtained. The stool and cellophane slide samples were sent together to the Parasitology Department Laboratory, Faculty of Medicine, Aydın Adnan Menderes University, between 1 October 2017 and 1 October 2018. Stool samples of all patients with E. vermicularis (n=74) and without E. vermicularis (n=74) infection were used. All samples were examined for the presence of D. fragilis by trichrome staining and PCR. The 18S ribosomal RNA region of D. fragilis isolates was sequenced. Demographic characteristics and clinical findings of the patients were evaluated.Results:D. fragilis was detected in 42 (28.37%) of 148 samples; 28 (66.6%) of them were detected in patients with E. vermicularis infection. The coexistence of two parasites was significant (p<0.05). All isolates sequenced were genotype 1. No significant relationship was found between the presence of parasites and clinical findings, living area and gender (p>0.05).Conclusion:D. fragilis is frequently associated with E. vermicularis, so the presence of D. fragilis should be also considered in affected patients. The use of high-sensitivity molecular methods such as PCR is important in preventing false results. http://www.turkiyeparazitolderg.org/archives/archive-detail/article-preview/nvestigation-of-idientamoeba-fragilis-i-frequency-/48457 dientamoeba fragilispcrenterobius vermicularistrichrome
spellingShingle İbrahim Yıldız
Sema Ertuğ
Evren Tileklioğlu
Erdoğan Malatyalı
Özgür Güçlü
Hatice Ertabaklar
Investigation of Dientamoeba fragilis Frequency in Faecal Samples of Patients with Enterobius vermicularis Infection by Polymerase Chain Reaction
Türkiye Parazitoloji Dergisi
dientamoeba fragilis
pcr
enterobius vermicularis
trichrome
title Investigation of Dientamoeba fragilis Frequency in Faecal Samples of Patients with Enterobius vermicularis Infection by Polymerase Chain Reaction
title_full Investigation of Dientamoeba fragilis Frequency in Faecal Samples of Patients with Enterobius vermicularis Infection by Polymerase Chain Reaction
title_fullStr Investigation of Dientamoeba fragilis Frequency in Faecal Samples of Patients with Enterobius vermicularis Infection by Polymerase Chain Reaction
title_full_unstemmed Investigation of Dientamoeba fragilis Frequency in Faecal Samples of Patients with Enterobius vermicularis Infection by Polymerase Chain Reaction
title_short Investigation of Dientamoeba fragilis Frequency in Faecal Samples of Patients with Enterobius vermicularis Infection by Polymerase Chain Reaction
title_sort investigation of dientamoeba fragilis frequency in faecal samples of patients with enterobius vermicularis infection by polymerase chain reaction
topic dientamoeba fragilis
pcr
enterobius vermicularis
trichrome
url http://www.turkiyeparazitolderg.org/archives/archive-detail/article-preview/nvestigation-of-idientamoeba-fragilis-i-frequency-/48457
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