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285525

Relationship between Entamoeba histolytica and Fecal Calprotectin in Patients with Gastroenteritis in Kirkuk City-Iraq

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Last updated: 28 Dec 2024

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Abstract

Background: Intestinal amoebiasis due to Entamoeba histolytica in association to gastroenteritis in Kirkuk city was recently reported. Objective: To measure fecal calprotectin (FC) also during intestinal amoebiasis. The relation between Ent.histolytica and gastroenteritis was investigated. Methodology: A total of 419 patients attend to the gastroenteritis clinics in two Hospital Kirkuk center. They suffer from gastrointestinal disorders (GITDs), such as diarrhea, vomiting, nausea, diarrhea altered by constipation. The collected stool samples were tested for: parasitological tests and fresh portion was extracted for fecal calprotectin using ELISA technique. Blood samples were tested for some hematological tests. For each stool sample direct double wet preparations were performed then confirmed by flotation technique. Overnight extracted fecal sample was tested for FC using ELISA-copro kit. Neutrophil count and white blood cells were calculated using samples using automated machine. Results: A total of 82.81 % of parasitic infection was recorded, and Entamoeba histolytica contributed rate was 24.85 %.Inflammatory bowel disease (IBD) due to intestinal amoebiasis were highly recorded among patients aging from 31to 40 years (74.34 %) followed by 71.42 % among patients aging from 11 to 20 years. Compare to high rate in irritable bowel syndrome (IBS) patients aging from 41 to over than 60 years old. Samples from females positive for Entamoeba histolytica in relation to IBD and IBS exert significance compare to males. Fecal calprotectin positive level above than 50 ng/ml was recorded in 50 stool samples versus to 37 negative mean levels as Fc was below 50 ng/ml. Frequency of FC positive was higher among females than males. Leucopenia and neutrophilia were dominant among positive FC samples contrary to normal neutrophil count among FC negative samples. High rate 59.22 % of stool sample pH was ranged from 6.1 to 7. Conclusions: Entamoeba histolytica rate is high among patients with gastroenteritis particularly among IBD patients. ELISA Fecal calprotectin is good marker for detecting the injury caused by the parasites to the host.

DOI

10.21608/ejmm.2018.285525

Keywords

Calprotectin, IBD, IBS, Entamoeba, neutrophil and gastroenteritis

Authors

First Name

Ola

Last Name

Ali

MiddleName

Salih

Affiliation

College of Education for Pure Science-Tikrit University

Email

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City

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Orcid

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First Name

Shihab

Last Name

Mohammad

MiddleName

Ahmad

Affiliation

Parasitology. College of Education for pure science-Tikrit University

Email

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City

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Orcid

-

First Name

Yahya

Last Name

Salman

MiddleName

Jirjees

Affiliation

Medical Microbiology. Faculty of Medicine-Kirkuk University

Email

dr.yahyajirjeessalman@yahoo.com

City

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Orcid

-

Volume

27

Article Issue

2

Related Issue

39632

Issue Date

2018-04-01

Receive Date

2023-02-14

Publish Date

2018-04-01

Page Start

49

Page End

56

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_285525.html

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https://ejmm.journals.ekb.eg/service?article_code=285525

Order

285,525

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Relationship between Entamoeba histolytica and Fecal Calprotectin in Patients with Gastroenteritis in Kirkuk City-Iraq

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Article

Created At

28 Dec 2024