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Balantidium coli
Largest protozoan that infects humans & non-human primates & pigs
Only ciliate (protozoan processing cilia)
Balantidium sulcata
Found only in the colon of bovines
ingestion of the infective cyst from food & water contaminated by feces
Balantidium coli MOT
Balantidiasis/Balantidiosis/Ciliary Dysentery;
blood stool with mucous
Balantidium coli pathology
Similar with Amoebic dysentery
Characteristic of the diarrhea is ________________
Paramecium coli
Balantidium coli first (old) name
cyst
Balantidium coli infective stage
Pigs
Also in cows, dogs, horses, rodents, and nonhuman primates
Balantidium coli Reservoir host
Balantidium coli cystBalantidium coli
Infective
Non-motile, dominant
Non-reproductive
Size: 50-70 µm (diameter)
Ovoid, rounded with well- defined cystic wall (cilia enclosed in cystic wall)
Binucleated (1 macronucleus, 1 micronucleus)
Surrounded by a thick transparent cyst wall → to resist degradation in the acidic environment of the stomach & the basic environment of the small intestine
Contractile vacuoles are prominent

Balantidium coli trophozoite
Non-infective, invasive
Motile (rotatory movements) - “Thrown ball/Rolling” motility
Shape: Large, ovoid, ciliated
Size: 30-150 µm length x 25-120 µm width
Ovoidal, bean-shaped
Prominent cytostome (for food entry)
Indented cytopyge (for waste exit)
Has 2 nuclei (macro & micronucleus)
Contractile vacuoles: 1-2, lying side-byside or one above the other; maintain proper osmotic pressure inside the cell
Food vacuoles: contain food particles (e.g., bacteria, debris, fat droplets, occasional RBCs, starch grains)

Macronucleus (vegetative)
Balantidium coli structures:
Kidney bean-shaped; responsible for cytoplasmic activities; vegetative
Micronucleus (reproductive)
Balantidium coli structures:
Less prominent, lying in the notch of the macronucleus; responsible for reproductive process
adoral cilia
Balantidium coli structures:
Cilia present near the mouth (cytostome) are longer, called __________
peristome;
cytostome;
cytopharynx;
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Balantidium coli structures:
Anterior end is narrow & bears a groove (_______) that leads to the mouth (________), followed by a short funnel-shaped gullet (_________) extending up to ____ of the body
Binary fission (Asexual)
Trophozoite → Trophozoite
Syngamy (Sexual)
Conjugation of trophozoite to another trophozoite
2 Trophozoites come in contact with each other at their anterior ends —→ Trophozoites exchange nuclear materials for a few moments, then they detach —-→ No increase in the number of trophozoites
Balantidium coli reproduction:
Hyaluronidase
lytic enzyme that causes ulceration
Lytic enzymes cause cell destruction
Ulceration
rounded base and wide neck
Balantidium coli virulent factors:
Specimen used is stool
Direct Fecal Smear
Concentration techniques
Balantidium coli diagnosis
Tetracycline or Metronidazole
Balantidium coli treatment