Pathogenic vs. Commensal Amoebae

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The page below is a sample from the LabCE course Intestinal Protozoan Parasites. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Pathogenic vs. Commensal Amoebae

Several amoebae (class Sarcodina) can be found in human feces. These include the Entamoeba spp.: Entamoeba histolytica, E. dispar, E. moshkovski, E. bangladeshi, E. coli, and E. hartmanni. The first four species are morphologically identical, but of the four, only E. histolytica has been definitely determined to be pathogenic. E. dispar is morphologically identical to E. histolytica, but non-pathogenic. E. coli and E. hartmanni are also considered non-pathogenic.
Commensal amoeba of other genera include Endolimax nana and Iodamoeba butschlii.
This section will focus on the pathogenic parasite E. histolytica, but information will be given regarding differentiating them from some of the other common harmless commensals.
One note about commensals: although they do not cause disease in most people, they indicate that the person has consumed something with fecal contamination. Therefore, even commensals should always be noted and reported.