The morphological changes occurring in Blastocystis hominis at differe
nt time points following in vitro encystment were studied by electron
microscopy. The following stages of the parasite were sequentially see
n: (a) the amoebic form, which was irregular in shape, with a majority
of the organelles being concentrated at the condensed cytoplasmic reg
ion; (b) the pre-cystic form, which was rounded and had an electron-de
nse material forming a homogeneous wall around the central body; and (
c) the cystic form, which had a very prominent, thick osmiophilic elec
tron-dense wall, within which there were many inclusions and possibly
reproductive granules. The amoebic form appeared to be an intermediate
stage between the vacuolar form and the pre-cystic form, as this stag
e allowed the parasite to ingest bacteria to enhance encystment. The p
re-cystic stage had previously been shown in experimental infection to
be infective. The role of the cystic stage in producing infection is
currently being investigated.