RT Book, Section A1 Ortega-Barria, Eduardo A1 Dominguez, Elidia A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7031520 T1 Chapter 343. Balantidiasis T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7031520 RD 2024/04/19 AB Balantidium coli is the largest protozoan parasite and the only ciliate known to cause infection in humans. B. coli is a zoonosis and has been found in pigs, rodents, cattle, reptiles, birds, fishes, annelids, arthropods, and many simian hosts. Pigs are typically the source of human infections, although species-to-species transmission requires adaptation of the parasite. The host’s health can be a factor, since individuals who are malnourished or suffering from concurrent infections are at greater risk of developing balantidiasis. Once a porcine strain becomes established in the human intestine, the infection may spread from human-to-human, and this may account for the occasional reported epidemics.