Entamoeba histolytica/E. dispar (E. histolytica is the true pathogen, and E. dispar is nonpathogenic) |
10–60; usual range, 15–20 (commensal form) and over 20 (invasive form) |
Progressive, with hyaline, finger-like pseudopods |
1 (not visible in unstained preparations) |
Fine granules; usually evenly distributed and uniform in size |
Small, discrete; usually centrally located but occasionally eccentric |
Finely granular |
RBCs occasionally; noninvasive organisms may contain bacteria; no RBCs seen in E. dispar
|
Entamoeba hartmanni |
5–12; usual range, 8–10 |
Usually nonprogressive but may occasionally be progressive |
1 (not visible in unstained preparations) |
Similar to E. histolytica
|
Small, discrete, often eccentric |
Finely granular |
Bacteria |
Entamoeba coli |
15–50; usual range, 20–25 |
Sluggish, nonprogressive, with blunt pseudopods |
1 (often visible in unstained preparations) |
Coarse granules, irregular in size and distribution |
Large, discrete, usually eccentric |
Coarse, often vacuolated |
Bacteria, yeasts, or other materials |
Entamoeba polecki |
10–25; usual range, 15–20 |
Usually sluggish, similar to E. coli; occasionally, in diarrheic specimens, motility may be progressive |
1 (may be slightly visible in unstained preparations; occasionally may be irregularly distorted by pressure from vacuoles in cytoplasm) |
Usually fine granules are evenly distributed; occasionally granules may be irregularly arranged; chromatin sometimes in plaques or crescents |
Small, discrete, eccentric; occasionally large, diffuse, or irregular |
Coarsely granular; may resemble E. coli; contains numerous vacuoles |
Bacteria, yeasts |
Endolimax nana |
6–12; usual range, 8–10 |
Sluggish, usually nonprogressive with blunt pseudopods |
1 (visible occasionally in unstained preparations) |
None |
Large, irregularly shaped, blot-like |
Granular, vacuolated |
Bacteria |
Iodamoeba bütschlii |
8–20; usual range, 12–15 |
Sluggish, usually nonprogressive |
1 (not usually visible in unstained preparations) |
None |
Large, usually central; surrounded by refractile, achromatic granules; these granules are often not distinct even in stained slides |
Coarsely granular, vacuolated |
Bacteria, yeasts, or other materials |
Dientamoeba fragilis |
5–15, usual range, 9–12 |
Pseudopods are angular, serrated, or broad lobed and hyaline, almost transparent |
2 (in ∼20% of organisms, only 1 nucleus is present; nuclei are invisible in unstained preparations) |
None |
Large cluster of 4–8 granules (tetrad) |
Finely granular |
Bacteria |