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BackFact Sheet

Dientamoeba fragilis Infection
(DYE-ent-a-ME-ba fra-JILL-us)

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What is Dientamoeba fragilis?

Dientamoeba fragilis is a parasite that lives in the large intestine of humans. Infection is common worldwide, including in the United States.

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What are the symptoms of infection with Dientamoeba fragilis?

Many infected people do not have any symptoms. The most common symptoms are diarrhea, stomach pain, and stomach cramping. Loss of appetite and weight, nausea, and fatigue also are common. The infection does not spread from the intestines to other parts of the body.

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What should I do if I think I might be infected?

See your health care provider.

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How is infection with Dientamoeba fragilis diagnosed?

Your health care provider will ask you to provide stool samples for testing. Because the parasite is not always found in every stool sample, you might be asked to submit stool samples from more than one day. You might also be tested for pinworm eggs, which are commonly (but not always) found in persons infected with D. fragilis.

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Is medication available to treat infection with Dientamoeba fragilis?

Yes. Safe and effective medications are available for D. fragilis and pinworm infections.

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How did I get infected with Dietamoeba fragilis?

This question is difficult to answer because we aren't sure how D. fragilis is spread. The parasite is fragile and probably cannot live very long in the environment. Infection might be spread by:

  • Accidentally swallowing pinworm eggs (which might protect this fragile parasite) or the eggs of other parasite.
  • Swallowing something, such as water or food, or touching (and bringing your fingers to your mouth) something contaminated with stool from someone infected with D. fragilis.

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Who is at greatest risk for infection?

Anyone can become infected with this parasite. However, the risk for infection might be higher for people who live in or travel to settings with poor sanitary conditions or who have weak immune systems.

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How can I prevent Dientamoeba fragilis infection?

  • Wash your hands with soap and warm water, especially after using the toilet, changing baby diapers, and before preparing foods.
  • Teach children the importance of washing hands to prevent infection.

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This fact sheet is for information only and is not meant to be used for self-diagnosis or as a substitute for consultation with a health care provider. If you have any questions about the disease described above or think that you may have a parasitic infection, consult a health care provider.

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This page last reviewed March 31, 2008

Centers for Disease Control and Prevention
National Center for Zoonotic, Vector-Borne, and Enteric Diseases
Division of Parasitic Diseases