PREVALENCE AND SPECIES DISTRIBUTION OF E. HISTOLYTICA AND E. DISPAR IN THE VENDA REGION, LIMPOPO, SOUTH AFRICA

AMIDOU SAMIE Department of Microbiology, University of Venda, Thohoyandou, South Africa; Center for Global Health, Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia

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LARRY C. OBI Department of Microbiology, University of Venda, Thohoyandou, South Africa; Center for Global Health, Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia

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PASCAL O. BESSONG Department of Microbiology, University of Venda, Thohoyandou, South Africa; Center for Global Health, Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia

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SUZANNE STROUP Department of Microbiology, University of Venda, Thohoyandou, South Africa; Center for Global Health, Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia

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ERIC HOUPT Department of Microbiology, University of Venda, Thohoyandou, South Africa; Center for Global Health, Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia

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RICHARD L. GUERRANT Department of Microbiology, University of Venda, Thohoyandou, South Africa; Center for Global Health, Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia

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The prevalence and species distribution of Entamoeba histolytica and E. dispar in the Venda region were determined in stool samples collected from public hospitals and primary schools by ELISA and a nested polymerase chain reaction (PCR). E. histolytica was detected in 37/197 (18.8%) and 1/47 (2.1%) samples, whereas 50/197 (25.3%) and 4/47 (8.5%) had E. dispar in the hospitals and schools, respectively. The age groups most infected were 0–2 (33%) years followed by 20–29 years (27%). E. histolytica was significantly associated with diarrhea (77.4% versus 22.6%; χ2 = 39.48, P < 0.05), and with the presence of lactoferrin (85.7% versus 14.2%) in the stools, indicating intestinal inflammation (χ2 = 29.605, P < 0.05). E. histolytica was found in 5 (16.12%) of the 31 HIV-positive individuals and in 33 (15.5%) of the 213 HIV-negative individuals. E. histolytica infections are common in the Venda region and are associated with diarrhea and intestinal inflammation.

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