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FAKULTAS KESEHATAN

UNIVERSITAS NU SURABAYA
Menyiapkan Generasi Rahmatan Lilalamin

Intestinal infection
Caused by
Ciliates:
UNIVERSITAS Ciliophora (Ciliates)
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NU SURABAYA
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Possess simple cilia during some part of


their life cycle.
Most species have 2 kinds of nuclei:
macronuclei and micronuclei.
Most ciliates are free-living. A few groups
are commensals or parasitic.
Feed on particulate food,
small bacteria; other feed on
large organisms.
FAKULTAS KESEHATAN
UNIVERSITAS NU SURABAYA
Menyiapkan Generasi Rahmatan Lilalamin

Balantidium coli

bag colon
Balantidium coli
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UNIVERSITAS NU SURABAYA
Menyiapkan Generasi Rahmatan Lilalamin

Balantidium is the only ciliated


protozoan known that is
pathogenic in humans
and the largest protozoan
infecting human.
Primarily a zoonotic intestinal cyst
parasite (pigs).
FinalUNIVERSITAS
host: NU Human.
FAKULTAS KESEHATAN
SURABAYA Balantidium coli
Reservoir host: pigs
Menyiapkan Generasi Rahmatan Lilalamin

(Zoonotic).
Habitat: cecum and colon.
Transmission: faecal-oral Pig farmer.

route and pigs appear to


be the source of most
human cases.
G.D. Cosmopolitan and can
be found wherever pigs
are found
Disease: Balantidiasis or
balantidial dysentry
Balantidium
FAKULTAS KESEHATAN
UNIVERSITAS NU SURABAYA coli: Trophozoite
Trophozoites are oval in
Menyiapkan Generasi Rahmatan Lilalamin

shape with 50-100 m long by


40-70 m wide.
An anterior funnel shaped
cytosome is usually visible.
At the posterior end is an
excretory opening called
cytopyge.
Short cilia cover the cell
surface.
Internally, a horse-shoe or
sausage-shaped or kidney-
shaped macronucleus is
prominent; the adjacent
round micronucleus is not.
Balantidium
FAKULTAS KESEHATAN
coli: Cyst
UNIVERSITAS NU SURABAYA
Menyiapkan Generasi Rahmatan Lilalamin

CYST - formed as feces


dehydrate in the colon or rectum
Cysts are usually spherical or
slightly ovoid and have a
diameter of 45-65 m
There is a cyst wall and the cilia
are absent
As in the trophozoite, the
macronucleus is prominent, but
the micronucleus may not be.
FAKULTAS KESEHATAN Ingestion of Cyst :
UNIVERSITAS NU SURABAYA
Menyiapkan Generasi Rahmatan Lilalamin infective stage

Balantidium coli
Life Cycle
FAKULTAS KESEHATAN
UNIVERSITAS NU SURABAYA
Menyiapkan Generasi Rahmatan Lilalamin

Balantidium coli
Life cycle
FAKULTAS KESEHATAN
UNIVERSITAS NU SURABAYA
Menyiapkan Generasi Rahmatan Lilalamin

Encystation

Active
Trophozoite
Stage.

The trophozoite
Excystation
inhabits the occurs in the
cecum and small intestine Cyst Phase.
colon of
humans.
Balantidium coli: Pathology
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UNIVERSITAS NU SURABAYA
Trophozoites are tissue
Menyiapkan Generasi Rahmatan Lilalamin

invaders. They secrete


proteolytic enzymes
(Hyaluronidase) which digest
the epithelium of the large
intestine.
Ulceration results in
bleeding and secondary
bacterial infection.
Perforation of the large
intestine has occurred in
some fatal cases.
UNIVERSITAS Laboratory diagnosis
FAKULTAS KESEHATAN
NU SURABAYA
Menyiapkan Generasi Rahmatan Lilalamin

1. Examination of stool samples, looking for


trophozoites and cysts, which are readily
identified because of their large size.

Trophozoite Cyst
FAKULTAS KESEHATAN
UNIVERSITAS NU SURABAYA
Menyiapkan Generasi Rahmatan Lilalamin
2. Biopsy of the
colon: Numerous
trophozoites
in intestinal tissue.
FAKULTAS KESEHATAN
UNIVERSITAS NU SURABAYA References
Menyiapkan Generasi Rahmatan Lilalamin

1. Schuster, FL. and Ramirez-Avila, L. Current World Status of


Balantidium coli. (2008). Clin. Mic. Rev. 21(4): 626638.
2. Schmidt GD, & Roberts LS. (2005). Foundations of Parasitology. 7th
ed. McGraw Hill. Boston.
3. http://www.cdfound.to.it/html/bal1.htm
4. http://www.dpd.cdc.gov/dpdx/HTML/Balantidiasis.ht
5. http://www.stanford.edu/group/parasites/ParaSites2006/
6.http://parasitewonders.blogspot.com/2009_10_0 _archive.htm
7.http://pathmicro.med.sc.edu/parasitology/intest-protozoa.htm
8.http://www.umanitoba.ca/science/zoology/faculty/dick/z346/balanhome
.html
9.http://www.ufrgs.br/parasito/dinamica/parasitos/protozoa/ciliophora/b
alantidium/balantidium.html
10.http://www.kstate.edu/parasitology/625tutorials/Ciliates.html
11.http://www.stanford.edu/group/parasites/ParaSites2003/Balantidium/
Animal_Reservoir.htm

http://www.tntech.edu/wrc/119.htm

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