Entamoeba moshkovskii

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Entamoeba moshkovskii
Scientific classification OOjs UI icon edit-ltr.svg
Domain: Eukaryota
Phylum: Amoebozoa
Family: Entamoebidae
Genus: Entamoeba
Species:
E. moshkovskii
Binomial name
Entamoeba moshkovskii
Tshalaia, 1941

Entamoeba moshkovskii is part of the genus Entamoeba . [1] It is found in areas with polluted water sources, and is prevalent in places such as Malaysia, India, and Bangladesh, but more recently has made its way to Turkey, Australia, and North America. This amoeba is said to rarely infect humans, but recently this has changed. It is in question as to whether it is pathogenic or not. [2] Despite some sources stating this is a free living amoeba, various studies worldwide have shown it contains the ability to infect humans, with some cases of pathogenic potential being reported. [3] Some of the symptoms that often occur are diarrhea, weight loss, bloody stool, and abdominal pain. The first known human infection also known as the "Laredo strain" of Entamoebic mushkovskii was in Laredo, Texas in 1991, although it was first described by a man named Tshalaia in 1941 in Moscow, Russia. [2] [3] It is known to affect people of all ages and genders. [4]

Contents

Symptoms

Entamoeba moshkovskiihas been identified in occasionally causing diarrhea with similar severity, duration, and age of onset to diarrhea acquired from E. histolytica. In murine models of mice, E. moshkovskii caused diarrhea, weight loss, and colitis. When children in Bangladesh were tested for intestinal issues, E. moshkovskii infection was associated with diarrhea. [5]

Characteristics

The exact characteristics of Entamoeba moshkovskii are "indistinguishable" from that of Entamoeba histolytica and Entamoeba dispar unless a polymerase chain reaction test is done. This is the only circumstance in which you can distinguish between the three of them. [1]

Transmission

Entamoeba moshkovskii is transmitted by contact or ingestion of any unclean water sources. It is known to be found in areas with polluted water such as brackish coastal pools, river line sediments, and originally sewage. [1] A study from eastern India recorded a moderately high prevalence of Entamoeba moshkovskii infection in pigs. [6]

Risk factors

Risk factors include the use or ingestion of polluted sources of water. Swimming in any areas with polluted water is also a risk. Most of the cases reported are in rural areas.[ citation needed ]

Diagnosis

Diagnosis with Entamoeba moshkovskii is difficult to do until symptoms appear. The amoeba will form cysts and trophozoites in the gastrointestinal tract. This can cause abdominal pain and diarrhea. Once symptoms start to occur, the standard means of diagnosing are a series of stool sample examinations and serological testing, and, if necessary, a colonoscopy or a biopsy of intestinal amebic legions or draining of liver abscesses (if present). [7] They are checking to see if there is any indication of the amoeba within the feces. In order to do this, several stool smears must be made and carefully observed under the microscope. At this point, if the tests are positive, it will usually come down to three choices for a diagnosis. The choices being Entamoeba moshkovskii, Entamoeba histolytica , or Entamoeba dispar . These three choices are, in the view of the microscope, "indistinguishable". [1] This is the point where a doctor makes the call for what is most common (Entamoeba histolytica) or something more rare (Entamoeba mushkovskii). If they choose to go with what is common, they will treat with "entamoebic chemotherapy". [1] If the decision to treat amoebiasis is made, symptomatic or not, successful results may be reached using luminal agents. [8] If the choice is to further examine the diagnosis, they will have to do a polymerase chain reaction. [7] This is the only way to differentiate between the three amoebas and effectively diagnose.

Treatment

Although treatments are still being researched, there are some ways to treat Entamoebic moshkovskii. Since this particular amoeba is resistant to emitin, [7] they typically treat using an anti-protozoan or antiamoebic therapy. [7] In tropical regions, anyone with cysts in their stool is treated with an anti-protozoan. According to health.harvard.edu, gastrointestinal amoebiasis is treated with nitroimidazole drugs, given orally or intravenously, to clear amoebas found within the blood, wall of the intestine, and the liver. Luminal drugs are used to eliminate the transmissible and air-resistant cyst forms found within the intestines. Nitroimidazole and luminal drugs are paired together when gastrointestinal symptoms caused by amoebiasis are present. [9]

Prevention

Preventive methods are to only utilize clean water sources – whether it be for ingestion, cleaning, or recreation – and good hygiene such as hand-washing.[ citation needed ]

Related Research Articles

<i>Entamoeba</i> Genus of internal parasites

Entamoeba is a genus of Amoebozoa found as internal parasites or commensals of animals. In 1875, Fedor Lösch described the first proven case of amoebic dysentery in St. Petersburg, Russia. He referred to the amoeba he observed microscopically as Amoeba coli; however, it is not clear whether he was using this as a descriptive term or intended it as a formal taxonomic name. The genus Entamoeba was defined by Casagrandi and Barbagallo for the species Entamoeba coli, which is known to be a commensal organism. Lösch's organism was renamed Entamoeba histolytica by Fritz Schaudinn in 1903; he later died, in 1906, from a self-inflicted infection when studying this amoeba. For a time during the first half of the 20th century the entire genus Entamoeba was transferred to Endamoeba, a genus of amoebas infecting invertebrates about which little is known. This move was reversed by the International Commission on Zoological Nomenclature in the late 1950s, and Entamoeba has stayed 'stable' ever since.

<span class="mw-page-title-main">Dysentery</span> Inflammation of the intestine causing diarrhea with blood

Dysentery, historically known as the bloody flux, is a type of gastroenteritis that results in bloody diarrhea. Other symptoms may include fever, abdominal pain, and a feeling of incomplete defecation. Complications may include dehydration.

<i>Entamoeba histolytica</i> Anaerobic parasitic protist

Entamoeba histolytica is an anaerobic parasitic amoebozoan, part of the genus Entamoeba. Predominantly infecting humans and other primates causing amoebiasis, E. histolytica is estimated to infect about 35-50 million people worldwide. E. histolytica infection is estimated to kill more than 55,000 people each year. Previously, it was thought that 10% of the world population was infected, but these figures predate the recognition that at least 90% of these infections were due to a second species, E. dispar. Mammals such as dogs and cats can become infected transiently, but are not thought to contribute significantly to transmission.

<span class="mw-page-title-main">Giardiasis</span> Parasitic disease that results in diarrhea

Giardiasis is a parasitic disease caused by Giardia duodenalis. Infected individuals who experience symptoms may have diarrhoea, abdominal pain, and weight loss. Less common symptoms include vomiting and blood in the stool. Symptoms usually begin one to three weeks after exposure and, without treatment, may last two to six weeks or longer.

<i>Entamoeba coli</i> Species of parasitic amoeba

Entamoeba coli is a non-pathogenic species of Entamoeba that frequently exists as a commensal parasite in the human gastrointestinal tract. E. coli is important in medicine because it can be confused during microscopic examination of stained stool specimens with the pathogenic Entamoeba histolytica. This amoeba does not move much by the use of its pseudopod, and creates a "sur place (non-progressive) movement" inside the large intestine. Usually, the amoeba is immobile, and keeps its round shape. This amoeba, in its trophozoite stage, is only visible in fresh, unfixed stool specimens. Sometimes the Entamoeba coli have parasites as well. One is the fungus Sphaerita spp. This fungus lives in the cytoplasm of the E. coli. While this differentiation is typically done by visual examination of the parasitic cysts via light microscopy, new methods using molecular biology techniques have been developed. The scientific name of the amoeba, E. coli, is often mistaken for the bacterium, Escherichia coli. Unlike the bacterium, the amoeba is mostly harmless, and does not cause as many intestinal problems as some strains of the E. coli bacterium. To make the naming of these organisms less confusing, "alternate contractions" are used to name the species for the purpose making the naming easier; for example, using Esch. coli and Ent. coli for the bacterium and amoeba, instead of using E. coli for both.

<span class="mw-page-title-main">Amoebozoa</span> Phylum of protozoans

Amoebozoa is a major taxonomic group containing about 2,400 described species of amoeboid protists, often possessing blunt, fingerlike, lobose pseudopods and tubular mitochondrial cristae. In traditional classification schemes, Amoebozoa is usually ranked as a phylum within either the kingdom Protista or the kingdom Protozoa. In the classification favored by the International Society of Protistologists, it is retained as an unranked "supergroup" within Eukaryota. Molecular genetic analysis supports Amoebozoa as a monophyletic clade. Modern studies of eukaryotic phylogenetic trees identify it as the sister group to Opisthokonta, another major clade which contains both fungi and animals as well as several other clades comprising some 300 species of unicellular eukaryotes. Amoebozoa and Opisthokonta are sometimes grouped together in a high-level taxon, variously named Unikonta, Amorphea or Opimoda.

<span class="mw-page-title-main">Blood in stool</span> Medical condition

Blood in stool or rectal bleeding looks different depending on how early it enters the digestive tract—and thus how much digestive action it has been exposed to—and how much there is. The term can refer either to melena, with a black appearance, typically originating from upper gastrointestinal bleeding; or to hematochezia, with a red color, typically originating from lower gastrointestinal bleeding. Evaluation of the blood found in stool depends on its characteristics, in terms of color, quantity and other features, which can point to its source, however, more serious conditions can present with a mixed picture, or with the form of bleeding that is found in another section of the tract. The term "blood in stool" is usually only used to describe visible blood, and not fecal occult blood, which is found only after physical examination and chemical laboratory testing.

<span class="mw-page-title-main">Balantidiasis</span> Medical condition

Balantidiasis is a protozoan infection caused by infection with Balantidium coli.

Dientamoebiasis is a medical condition caused by infection with Dientamoeba fragilis, a single-cell parasite that infects the lower gastrointestinal tract of humans. It is an important cause of traveler's diarrhea, chronic abdominal pain, chronic fatigue, and failure to thrive in children.

<span class="mw-page-title-main">Diiodohydroxyquinoline</span> Chemical compound

The quinoline derivative diiodohydroxyquinoline (INN), or iodoquinol (USAN), brand name Diodoquin, can be used in the treatment of amoebiasis.

<span class="mw-page-title-main">Diloxanide</span> Medication for amoebic gut infections

Diloxanide is a medication used to treat amoeba infections. In places where infections are not common, it is a second line treatment after paromomycin when a person has no symptoms. For people who are symptomatic, it is used after treatment with metronidazole or tinidazole. It is taken by mouth.

<span class="mw-page-title-main">Blastocystosis</span> Medical condition

Blastocystosis refers to a medical condition caused by infection with Blastocystis. Blastocystis is a protozoal, single-celled parasite that inhabits the gastrointestinal tracts of humans and other animals. Many different types of Blastocystis exist, and they can infect humans, farm animals, birds, rodents, amphibians, reptiles, fish, and even cockroaches. Blastocystosis has been found to be a possible risk factor for development of irritable bowel syndrome.

<span class="mw-page-title-main">Protozoan infection</span> Parasitic disease caused by a protozoan

Protozoan infections are parasitic diseases caused by organisms formerly classified in the kingdom Protozoa. These organisms are now classified in the supergroups Excavata, Amoebozoa, Harosa, and Archaeplastida. They are usually contracted by either an insect vector or by contact with an infected substance or surface.

<span class="mw-page-title-main">Amoebiasis</span> Human disease caused by amoeba protists

Amoebiasis, or amoebic dysentery, is an infection of the intestines caused by a parasitic amoeba Entamoeba histolytica. Amoebiasis can be present with no, mild, or severe symptoms. Symptoms may include lethargy, loss of weight, colonic ulcerations, abdominal pain, diarrhea, or bloody diarrhea. Complications can include inflammation and ulceration of the colon with tissue death or perforation, which may result in peritonitis. Anemia may develop due to prolonged gastric bleeding.

<span class="mw-page-title-main">Amoebic liver abscess</span> Medical condition

A amoebic liver abscess is a type of liver abscess caused by amebiasis. It is the involvement of liver tissue by trophozoites of the organism Entamoeba histolytica and of its abscess due to necrosis.

<span class="mw-page-title-main">Amoebic brain abscess</span> Medical condition

Amoebic brain abscess is an affliction caused by the anaerobic parasitic protist Entamoeba histolytica. It is extremely rare; the first case being reported in 1849. Brain abscesses resulting from Entamoeba histolytica are difficult to diagnose and very few case reports suggest complete recovery even after the administration of appropriate treatment regimen.

Cutaneous amoebiasis, refers to a form of amoebiasis that presents primarily in the skin. It can be caused by Acanthamoeba or Entamoeba histolytica. When associated with Acanthamoeba, it is also known as "cutaneous acanthamoebiasis". Balamuthia mandrillaris can also cause cutaneous amoebiasis, but can prove fatal if the amoeba enters the bloodstream It is characterized by ulcers. Diagnosis of amebiasis cutis calls for high degree of clinical suspicion. This needs to be backed with demonstration of trophozoites from lesions. Unless an early diagnosis can be made such patients can develop significant morbidity.

<span class="mw-page-title-main">Dehydroemetine</span> Chemical compound

Dehydroemetine is a synthetically produced antiprotozoal agent similar to emetine in its anti-amoebic properties and structure, but it produces fewer side effects. In the United States, it is manufactured by Roche.

Entamoeba polecki is an intestinal parasite of the genus Entamoeba. E. polecki is found primarily in pigs and monkeys and is largely considered non-pathogenic in humans, although there have been some reports regarding symptomatic infections of humans. Prevalence is concentrated in New Guinea, with distribution also recorded in areas of southeast Asia, France, and the United States.

Entamoeba invadens is an amoebozoa parasite of reptiles, within the genus Entamoeba. It is closely related to the human parasite Entamoeba histolytica, causing similar invasive disease in reptiles, in addition to a similar morphology and lifecycle.

References

  1. 1 2 3 4 5 CDC (2003). "Entamoeba moshkovskii Infections in Children in Bangladesh". Emerging Infectious Diseases. 9 (5). Center for Disease Control: 580–584. doi:10.3201/eid0905.020548. PMC   2972761 . PMID   12737742.
  2. 1 2 CID. "Atlas Protozoa".
  3. 1 2 Heredia, Rubén Darío; Fonseca, Jairo Andrés; López, Myriam Consuelo (2012). "Entamoeba moshkovskii perspectives of a new agent to be considered in the diagnosis of amebiasis". Acta Tropica. 123 (3): 139–45. doi:10.1016/j.actatropica.2012.05.012. PMID   22664420.
  4. CID. "Congress of International Disease". Archived from the original on 2014-07-27.
  5. Shimokawa, Chikako; Kabir, Mamun; Taniuchi, Mami; Mondal, Dinesh; Kobayashi, Seiki; Ali, Ibne Karim M; Sobuz, Shihab U; Senba, Masachika; Houpt, Eric; Haque, Rashidul; Petri, William A; Hamano, Shinjiro (2012). "Entamoeba moshkovskii is Associated with Diarrhea in Infants and Causes Diarrhea and Colitis in Mice". The Journal of Infectious Diseases. 206 (5): 744–51. doi:10.1093/infdis/jis414. PMC   3491739 . PMID   22723640.
  6. Sardar, Sanjib K. (May 2022). "Molecular evidence suggests the occurrence of Entamoeba moshkovskii in pigs with zoonotic potential from eastern India". Folia Parasitol (Praha). 23, 69:2022. doi: 10.14411/fp.2022.012 . PMID   35727049.
  7. 1 2 3 4 Fotedar, R; Stark, D; Beebe, N; Marriott, D; Ellis, J; Harkness, J (2007). "Laboratory Diagnostic Techniques for Entamoeba Species". Clinical Microbiology Reviews. 20 (3): 511–32, table of contents. doi:10.1128/CMR.00004-07. PMC   1932757 . PMID   17630338.
  8. Rossignol, Jean-François; Kabil, Samir M; El-Gohary, Yehia; Younis, Azza M (2007). "Nitazoxanide in the treatment of amoebiasis". Transactions of the Royal Society of Tropical Medicine and Hygiene. 101 (10): 1025–31. doi:10.1016/j.trstmh.2007.04.001. PMID   17658567.
  9. https://www.health.harvard.edu/digestive-health/gastrointestinal-amebiasis%5B%5D