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Balantidium coli                                                77











                            2








             The cyst is the infectious
             stage and is acquired by
             the host through ingestion  Some trophozoites invade
                                         the wall of the colon.
             of contaminated food or
             water.











                   = Infective Stage          i  d
                                      1  Cyst
                   = Diagnostic Stage








                                     3           4          5
                     Cyst
                              Trophozoite

            Fig. 9.2  Life cycle of Balantidium coli (Reproduced from https://www.cdc.gov/dpdx/balantidia-
            sis/index.html)

              Treatment

            Tetracycline (500 mg orally 4 times/day for 10 days) is the drug of choice and doxy-
            cycline is an alternative drug. Metronidazole and nitroimidazole have been reported
            to be useful.
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