Treatment of Dientamoeba fragilis in patients with irritable bowel syndrome
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Treatment of Dientamoeba fragilis in patients with irritable bowel syndrome. / Engsbro, Anne Line; Stensvold, C Rune; Nielsen, Henrik V; Bytzer, Peter.
I: American Journal of Tropical Medicine and Hygiene, Bind 87, Nr. 6, 12.2012, s. 1046-52.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Treatment of Dientamoeba fragilis in patients with irritable bowel syndrome
AU - Engsbro, Anne Line
AU - Stensvold, C Rune
AU - Nielsen, Henrik V
AU - Bytzer, Peter
PY - 2012/12
Y1 - 2012/12
N2 - The role of Dientamoeba fragilis in irritable bowel syndrome (IBS) is incompletely known. We aimed to investigate whether eradication of D. fragilis alleviates symptoms in IBS. Twenty-five D. fragilis-positive IBS patients were treated with Metronidazole (MZ) or Tetracycline. The patients were mostly female (89%), and mean age (SD) was 35.1 (8.2) years. Microbiological response, evaluated 2 weeks post-treatment, was observed in 15 of 25 patients (60%), all by MZ. Clinical response, defined as adequate relief of symptoms, was observed in 7 of 22 patients (32%), all by MZ. In a logistic regression analysis, we found no significant association between clinical and microbiological response. This case study did not support our hypothesis of a simple association between D. fragilis and IBS. Some D. fragilis-infections were insufficiently treated by MZ. Further studies into the prevalence and effect of eradication of D. fragilis in IBS and into efficient treatments of D. fragilis are warranted.
AB - The role of Dientamoeba fragilis in irritable bowel syndrome (IBS) is incompletely known. We aimed to investigate whether eradication of D. fragilis alleviates symptoms in IBS. Twenty-five D. fragilis-positive IBS patients were treated with Metronidazole (MZ) or Tetracycline. The patients were mostly female (89%), and mean age (SD) was 35.1 (8.2) years. Microbiological response, evaluated 2 weeks post-treatment, was observed in 15 of 25 patients (60%), all by MZ. Clinical response, defined as adequate relief of symptoms, was observed in 7 of 22 patients (32%), all by MZ. In a logistic regression analysis, we found no significant association between clinical and microbiological response. This case study did not support our hypothesis of a simple association between D. fragilis and IBS. Some D. fragilis-infections were insufficiently treated by MZ. Further studies into the prevalence and effect of eradication of D. fragilis in IBS and into efficient treatments of D. fragilis are warranted.
KW - Adult
KW - Antiprotozoal Agents
KW - Denmark
KW - Dientamoeba
KW - Dientamoebiasis
KW - Feces
KW - Female
KW - Humans
KW - Irritable Bowel Syndrome
KW - Male
KW - Metronidazole
U2 - 10.4269/ajtmh.2012.11-0761
DO - 10.4269/ajtmh.2012.11-0761
M3 - Journal article
C2 - 23091195
VL - 87
SP - 1046
EP - 1052
JO - Journal. National Malaria Society
JF - Journal. National Malaria Society
SN - 0002-9637
IS - 6
ER -
ID: 47892620