Blog: CURED of PARASITES: Blastocystis hominis & Dientamoeba fragilis.
by dsquat

Pinworm (threadworm/seatworm) may be the infective agent which transmits Dientamoeba fragilis in humans.

Transmission of Dientamoeba fragilis still remains unclear although there has been fair substantiation of the hypothesis that Enterobius vermicularis (pinworm) is the vector (infective agent or carrier) responsible for person to person spread.

Date:   2/10/2013 10:35:33 PM   ( 8 y ) ... viewed 7533 times

If you have been diagnosed and treated for pinworms, but you are still sick, it is extremely important to also be assessed for the presence of Dientamoeba fragilis.

If you have been diagnosed with Dientamoeba fragilis, I would highly recommend you are also treated for worms over a number of weeks, if not months. Please also follow the hygiene measures outlined below.

Transmission of Dientamoeba fragilis still remains unclear although there has been fair substantiation of the hypothesis that Enterobius vermicularis (pinworm) is the vector (infective agent or carrier) responsible for person to person spread.

Dientamoeba fragilis mono-nucleated or bi-nucleated forms have been documented in the lumen (interior of the gastrointestinal tract) of Enterobius vermicularis found in the human appendix. Many authors have now reported a higher than anticipated co-incidence of Dientamoeba fragilis and Enterobius vermicularis infections.

Early studies pointed toward the pinworm, Enterobius vermicularis, as a potential vector: coinfection with Dientamoeba fragilis and Enterobius vermicularis initially appeared to be far more common than expected; amoeboid bodies resembling Dientamoeba fragilis have been described in the eggs of Enterobius vermicularis.

In fact, a parasitologist named Ockert experimentally infected himself with pinworm eggs from a child and subsequently developed Dientamoeba fragilis infection. Two other successful attempts at infecting humans with Dientamoeba fragilis from pinworms were also described by Ockert. By contrast infection with Dientamoeba fragilis by ingesting Dientamoeba fragilis trophozites has failed.

The fact that Dientamoeba fragilis may be transmitted in humans by pinworms is very important because Dientamoeba fragilis does not have a cyst stage (where eggs survive outside the human body). The species name “fragilis” refers to the fact that the trophozoite stages are fragile; in that they do not survive long in the stool after leaving the body of the human host.

If after having been treated successfully for worms, you are still suffering intestinal upset and diarrhoea, you might also have Dientamoeba fragilis, which can survive and propagate once established without the presence of the worms, their hosts.

Specialised testing is required to determine the presence of Dientamoeba fragilis. This testing (where the fragile trophozoites are preserved in a fixative agent such as SAF (sodium acetate / acetic acid / formalin) needs to be performed by trained parasitologists who know what they are looking for. These stool tests are taken over several days because this parasite sheds intermittently, and is difficult to detect. Histopath in Sydney, Australia can perform this specialised testing.

MORE ON PINWORMS:

They are a nematode (roundworm) and a common intestinal parasite. (Note other terminology for this parasite: It is called pinworm (in the United States) (genus Enterobius), threadworm (in the United Kingdom and Australia) or seatworm).

Pinworms spread through human-to-human transmission, by ingesting (i.e., swallowing) infectious pinworm eggs and/or by anal insertion. The eggs are hardy and can remain viable (i.e., infectious) in a moist environment for up to three weeks. They do not tolerate heat well, but can survive in low temperatures.

After the eggs have been initially deposited near the anus, they are readily transmitted to other surfaces through contamination. The surface of the eggs is sticky when laid, and the eggs are readily transmitted from their initial deposit near the anus to fingernails, hands, night-clothing and bed linen. From here, eggs are further transmitted to food, water, furniture, toys, bathroom fixtures and other objects. Household pets often carry the eggs in their fur, while not actually being infected. Dust containing eggs can become airborne and widely dispersed when dislodged from surfaces, for instance when shaking out bed clothes and linen. Consequently the eggs can enter the mouth and nose through inhalation, and be swallowed later.

Washing your hands with soap and warm water after using the toilet, changing diapers, and before handling food is the most successful way to prevent pinworm infection. In order to stop the spread of pinworm and possible re-infection, people who are infected should bathe every morning to help remove a large amount of the eggs on the skin. Showering is a better method than taking a bath, because showering avoids potentially contaminating the bath water with pinworm eggs. Infected people should not co-bathe with others during their time of infection.

Also, infected people should comply with good hygiene practices such as washing their hands with soap and warm water after using the toilet, changing diapers, and before handling food. They should also cut fingernails regularly, and avoid biting the nails and scratching around the anus. Frequent changing of underclothes and bed linens first thing in the morning is a great way to prevent possible transmission of eggs in the environment and risk of reinfection. These items should not be shaken and carefully placed into a washer and laundered in hot water followed by a hot dryer to kill any eggs that may be there.

More on DIENTAMOEBA FRAGILIS:

Dientamoeba fragilis is a single-celled parasite found in the gastrointestinal tract of some humans, pigs and gorillas. It causes gastrointestinal upset in some people, but not in others. It is an important cause of travellers diarrhoea, chronic diarrhoea, fatigue and in children, failure to thrive. Infection with Dientamoeba fragilis is called Dientamoebiasis and is associated variously with symptoms of abdominal pain, diarrhea, weight loss, and fever.

Sources:
US Centers for Disease Control and Prevention, Wikipedia, IBS News and Views – Winter 2002, “Dientamoeba fragilis: an emerging role in intestinal disease”, Dientamoeba Fragilis Infection - WebMD LLC, Worms – Pinworm - Better Health Channel, Centre for Digestive Diseases – Parasites.

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