Balantidiasis Treatment & Management

Updated: Oct 18, 2019
  • Author: Subhash Chandra Parija, MD, MBBS, PhD, DSc, FRCPath; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Treatment

Medical Care

Special attention should be paid to volume replacement and electrolyte repletion in patients with balantidiasis who have severe diarrhea.

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Surgical Care

Balantidiasis rarely manifests as acute appendicitis, which requires appendectomy. [23]

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Consultations

Consult a surgeon for management of acute abdomen problems (eg, appendectomy, laparotomy).

Consult a gastroenterologist for patients who require colonoscopy.

Therapy in an intensive care unit may be required for patients with balantidiasis who show signs of clinical deterioration despite receipt of appropriate antibiotics.

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Diet

A starch-free diet is advisable for patients with balantidiasis. [24] A diet consisting of milk, gruel, eggs, scraped beef, toast, and cereals has been shown beneficial. [25]

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Prevention

B coli infection can be prevented with the following measures: [4]

  • Ensuring clean water supply and proper hygienic living conditions
  • Proper disposal of human and pig feces
  • Avoiding contact with pigs and treating infected pigs
  • Avoiding use of fertilizer that is contaminated with pig excrement
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Long-Term Monitoring

Patients with balantidiasis should have a follow-up visit after treatment to document the resolution of symptoms. Also, obtain a stool specimen and a wet smear to check for organisms.

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