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Minerva Gastroenterology 2022 Jan 10

DOI: 10.23736/S2724-5985.21.03095-3

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Diarrhea due to parasites: a short updated point of view from the clinical setting

Anna MAURIELLO 1, Amir MARI 2, William NSEIR 3, Giorgio M. SARACCO 1, 4, Rinaldo PELLICANO 4

1 Department of Medical Sciences, University of Turin, Turin, Italy; 2 Gastroenterology Unit, Nazareth Hospital, The Azrieli Faculty of Medicine, Bar Ilan University, Nazareth, Israel; 3 Department of Internal Medicine A, Baruch Padeh Medical Center, The Azrieli Faculty of Medicine, Bar Ilan University, Poria, Israel; 4 Unit of Gastroenterology, Molinette Hospital, Turin, Italy


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Diarrhea represents a common manifestation of several gastrointestinal diseases. Infectious agents are the most common causes of diarrhea in developing countries, where the inadequate sanitation and hygiene are prevalent. In these countries, the scarcity of preventive measures as well as the limited health resources cause a substantial increase in incidence, morbidity and mortality due to infectious diseases, including diarrhea. Currently, with the availability of rapid and inexpensive air transportation millions of people travel for tourism, work and immigration from developing countries to industrialized countries and vice versa. This leads to a high number of imported pathogens such as parasites causing infectious diarrhea. Importantly, while most cases of parasitic diarrhea are short, mild and self-limited, other cases may be associated with chronic diarrhea and serious morbidity and mortality. The aim of the current review is to provide an update, from a clinician’s point of view, of the main parasites causing diarrhea, with a focus on their diagnosis and management in the clinical setting.


KEY WORDS: Diarrhea; Parasites; Helminths; Protozoans

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