1393/9/10، جلد ۹، شماره ۴، صفحات -

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عنوان انگلیسی Epidemiological and Diagnostic Features of Blastocystis Infec¬tion in Symptomatic Patients in Izmir Province, Turkey
چکیده انگلیسی مقاله Abstract Background: The aims of this study were to identify Blastocystis subtypes (STs) in a cohort of Turkish patients with various gastrointestinal symptoms using a novel Real Time PCR method developed recently for Blastocystis detection and assess the relation­ship between Blastocystis STs and patient symptoms. Methods: Totally, 617 stool samples of patients with gastrointestinal symptoms were examined with microscopy and inoculated in Jones medium. Blastocystis -positive sam­ples were further assessed to identify coinfections with other possible pathogens, includ­ing bacteria and viruses. Diagnostic efficacies of microscopy, culture and Real-Time PCR were compared. PCR products were sequenced to identify the subtypes of Blastocystis isolates. Results: Totally 94 (15.24%) samples were positive for Blastocystis after all methods. Among these, 83 of 94 (88.3%) samples were identified with all methods, while 11 were positive only with Real Time PCR. Diarrhea and abdominal pain were the leading symp­toms in the patients. The only pathogenic agent identified in 76 of 94 (80.9%) patients was Blastocystis. Subtype 3 was the leading Blastocystis subtype (44.6%), while subtypes 6 and 7 were firstly isolated from symptomatic patients in our region. Conclusion: Comparison of three diagnostic methods indicated Real Time PCR as the most sensitive and specific method. Blastocystis was the only pathogenic agent among symptomatic patients, with subtype 3 being predominant. Patients with subtypes 6 and 7 need further assessments concerning the zoonotic potential of Blastocystis . Keywords: Blastocystis , Prevalence, Subtype, Pathogenicity, Turkey  
کلیدواژه‌های انگلیسی مقاله Keywords: Blastocystis , Prevalence, Subtype, Pathogenicity, Turkey  

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نشانی اینترنتی http://ijpa.tums.ac.ir/index.php/ijpa/article/viewArticle/1413
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