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Encephalitozoon intestinalis  and  Enterocytozoon bieneusi  can cause diarrhea in humans, especially severe diarrhea in immunocompromised patients. However, there have been few studies on  Enc. intestinalis  and  Ent. bieneusi  in patients with acute diarrhea in the Republic of Korea (ROK). In this study, fecal samples were collected from 1241 patients with acute diarrhea in 2020. Among these, 24 cases of  Enc. intestinalis  and one case of  Ent. bieneusi  were detected via PCR amplification of small subunit ribosomal RNA. Genotyping of the internal transcribed spacer region sequence revealed that the detected  Ent. bieneusi  genotype was in Group 1. This study provides the first evidence that  Ent. bieneusi  exists in humans in addition to animals in the ROK. To identify the causative agent, continuous monitoring of  Enc. intestinalis  and  Ent. bieneusi  is necessary for patients with acute diarrhea in the ROK.

pathogens

First Identification and Genotyping of Enterocytozoon bieneusi and Prevalence of Encephalitozoon intestinalis in Patients with Acute Diarrhea in the Republic of Korea