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Table 1 Based on a classification system published in January 2007, Blastocystis isolates from humans, animals, and birds are identified as Blastocystis sp. subtypes 1 to 9, as determined by analysis of SSU rRNA sequences [41].

From: Oh my aching gut: irritable bowel syndrome, Blastocystis, and asymptomatic infection

Sub-type #

Yoshikawa subtype # (used in some earlier studies)[41]

% of Blastocystis isolates in population belonging to this subtype from study in China adjusted for co-infections[43]

Results from animal study from Egypt[48]

Non-human carriers[12, 74]

Characteristics in human infection

Detectability +=Difficult +++=Readily Detected[44, 74]

Blastocystis sp. subtype 3

(3)

66%

Illness

Cows, Pigs

Associated with most chronic symptomatic infections [44, 47, 51]

+

Blastocystis sp. subtype 1

(1)

28%

Illness Death

Cows, Pigs, Chickens, Monkeys

Associated with many chronic symptomatic infections [44, 47, 51]

++

Blastocystis sp. subtype 2

(5)

5%

Not done

Dogs, Monkeys

Usually asymptomatic [50] or co-infection in symptomatic patients [44]

+++

Blastocystis sp. subtype 4

(7)

0.5%

Not done

Rodents

Rare in one population study [43], but was more common in a study of symptomatic patients at clinic [52]

++

Blastocystis sp. subtype 6

(4)

0.5%

Illness

Birds

Rare in one population study [43], but found in a study of symptomatic patients at a clinic [48]

Unknown

Blastocystis sp. subtype 5

(6)

0%

Not done

Pigs

Rare in one population study [43]

Unknown

Blastocystis sp. subtype 7

(2)

0%

No Illness

Birds

Rare in one population study [43], but found in a study of asymptomatic individuals [48]

Unknown

  1. China has completed the only large study on the prevalence of different Blastocystis subtypes in the general population, and that study found most infections were associated with subtypes 1, 2 and 3.