First report of Cystoisospora belli parasitemia in a patient with acquired immunodeficiency syndrome
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Jorge Néstor Velásquez
Abstract
Cystoisospora belli in patients with the acquired immunodeficiency syndrome (AIDS) has been described as cause of chronic diarrhea and disseminated cystoisosporosis. Diagnosis of intestinal cystoisosporosis can be achieved at the tissue level in the villus epithelium of the small bowel. Disseminated cystoisosporosis is diagnosed by microscopy identification of unizoite tissue cysts in the lamina propria of the intestine. We report a case of disseminated cystoisosporosis in a human immunodeficiency virus (HIV)-infected patient with detection of parasitemia. We studied a 39-year old patient with AIDS and chronic diarrhea by analysis of stool and duodenal biopsy samples. Blood samples were also collected and examined by light microscopy and molecular techniques for C. belli DNA detection. The unizoite tissue cyst stages were present in the lamina propria, with unsporulated oocysts in feces. Zoites were present in blood smears and DNA of C. belli was detected in blood samples. Our study identified a new stage in the life cycle of C. belli. Detection of parasitemia is a novel and noninvasive tool for diagnosis of disseminated cystoisosporosis.
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© 2016
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Articles in the same Issue
- Toxocarosis of the organ of sight – the complex pathological and diagnostic problem
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- New species and records of mites of the superfamily Sarcoptoidea (Acariformes: Psoroptidia) from mammals in Brazil
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- Effects of altered water quality and trace elements on the infection variables of Paradiplozoon ichthyoxanthon (Monogenea: Diplozoidae) from two sites in the Vaal River system, South Africa
- Herd-level seroprevalence of Neospora caninum infection in dairy cattle in central and northeastern Poland
- Ultrastructure of Ascaridia galli (Schrank, 1788) (Nematoda: Ascaridida) from the endangered green peafowl Pavo muticus Linnaeus (Galliformes: Phasianidae)
- Prevalence and risk factors associated to Eimeria spp. infection in unweaned alpacas (Vicugna pacos) from Southern Peru
- Description of a new species of Chabaudus Inglis and Ogden, 1965 (Nematoda: Seuratoidea) from the frog Euphlyctis cyanophlyctis from Dehrandun, Uttarakhand, India
- Fertilization in the cestode Echinococcus multilocularis (Cyclophyllidea, Taeniidae)
- Expression analysis of viscerotropic leishmaniasis gene in Leishmania species by real-time RT-PCR
- Fourier transform infrared spectroscopy as a tool for identification of crude microbial extracts with anti-malarial potential
- A 43 kDa recombinant plasmepsin elicits immune response in mice against Plasmodium berghei malaria
- Effects of Echinostoma caproni miracidia dose on the amino acid contents of Biomphalaria glabrata as determined by high-performance thin-layer chromatography
- In search of a potential diagnostic tool for molecular characterization of lymphatic filariasis
- Seasonal pattern in parasite infracommunities of Hoplerythrinus unitaeniatus and Hoplias malabaricus (Actinopterygii: Erythrinidae) from the Brazilian Amazon
- The first detection of the tick-borne encephalitis virus (TBEV) RNA in Dermacentor reticulatus ticks collected from the lowland European bison (Bison bonasus bonasus L.)
- Assessing the influence of geographic distance in parasite communities of an exotic lizard
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- Occurrence and morphogenetic characteristics of Gyrodactylus (Monogenea: Gyrodactylidae) from a rainbow trout farm (Lake Ladoga, Russia)
- Dactylogyrids (Monogenea) parasitic on cichlids from northern Brazil, with description of two new species of Sciadicleithrum and new host and geographical records
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