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Cysts Of Entamoeba Coli

Apr 29, 2005

I have been HIV for over 20 years. My cd4 avg is 300 and my viral load is non-dectable. Currently on Sulfameth/Sustiva/Truvada.Recently I started to feel discomfort in my lower intestine...probably the large intestine... I had a OVA&Parasite testing... conclusion is as follow: Concentration-Cysts of Entamoeba coli - positive but none seen... and Stained Slide Cysts of Entamoeba coli - positive (blank) I took 10days of metronidazole but my discomfort light pain came back... Now I am treating it with ParaGone/Pysillium and 500mg of Humatin 3x/day... Should I be worrying about this parasite? I have no fever/headache... just a little discomfort which could be coming from something else... Do you have any suggestion?

Thank you for your support...

Response from Dr. Holodniy

Entamoeba coli is usually not a pathogen by itself but could be a marker for other parasites. However the parasite exam did not apparently reveal anything else. Usually we like to get more than one stool specimen examined as the yield of positives goes up with 2 or 3 specimens examined. Paromomycin or humatin does have some antiparasite activity against entamoeba, but you may have been given the wrong diagnosis and additional workup may be required.

Mark Holodniy
Your answers on HLA phenotypes: fascinating!

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