Parasitic rheumatism by Endolimax nana. Objections
Alarcón-Segovia, D.; Abud-Mendoza, C.
Journal of Rheumatology 12(1): 184-185
1985
ISSN/ISBN: 0315-162X PMID: 3872367 Document Number: 243265
The brief communication by Burnstein, S.L. and Liakos, S. in Journal of Rheumatology (1983) 10, 514-515 regarding E. nana as the cause of parasitic rheumatism, is brought into question. E. nana is considered non pathogenic and non invasive, even in immunocompromized hosts. In 3763 consective studies on stools for parasites or ova only 210 were positive for E. nana. No patients had symptoms attributable to it. The use of metronidazole is briefly mentioned. In a reply, Liakos and Burnstein point out that they detected no organisms other than E. nana, and suggest that the virulence of the E. nana strain may have been altered.