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13 May 2026 : Case report  Indonesia

[In Press] Acari-Induced Diarrhea in Young Adult Patients: Case Report From Indonesia

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Rare disease

Lyana Setiawan ORCID logo1BCDF, Jessica Levina ORCID logo2ACDEF, Taswin Prawira3BDF, Yulita Cindra4BD, Jimmy Tandradynata ORCID logo5BCD, Mercy Tiarmauli Panjaitan67BD, Edho Yuwono ORCID logo2AEF, Nurhadi Eko Firmansyah ORCID logo8CE, Retno Wahyuningsih129ABCDEF

DOI: 10.12659/AJCR.952492

Am J Case Rep In Press; DOI: 10.12659/AJCR.952492  

Available online: 2026-05-13, In Press, Corrected Proof

Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule

Abstract

BACKGROUND
Intestinal acariasis is caused by the ingestion of mite-contaminated food and may lead to symptoms such as diarrhea and abdominal pain. Storage mites can survive in the human intestine and may contribute to intestinal acariasis-associated diarrhea. However, awareness of this condition as a potential cause of diarrhea remains limited. These mites, particularly Tyrophagus putrescentiae and other storage mites, are commonly found in food products such as flour and grains.
CASE REPORT
This report describes 3 cases of intestinal acariasis. Complete clinical data were available for the first case; only demographic information (age and sex) and stool laboratory findings were available for the second and third cases. All 3 patients presented with diarrhea and exhibited mites in their stool specimens. The etiologic agents in the first 2 patients were identified as Tyrophagus spp. The arthropod detected in the third patient could not be identified because the specimen was fragmented. Mites may induce intestinal inflammation, mucosal necrosis, and immune activation through their metabolic products. In intestinal acariasis, mites can damage the intestinal mucosa, penetrate the intestinal muscle layer, and further stimulate immune responses through their metabolites and body components.
CONCLUSIONS
Mites should be considered a potential cause of diarrhea. Further investigation into intestinal acariasis-associated diseases is warranted.

Keywords: Acariasis; Diarrhea; Mites

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923