PMID: 8586846Nov 1, 1995Paper

Intestinal microsporidiosis with Septata intestinalis in a patient with AIDS--response to albendazole

The Journal of Infection
C FranzenM Schrappe

Abstract

Microsporidiosis is a common finding in HIV-infected patients who have diarrhoea. The species most commonly causing gastrointestinal disease is Enterocytozoon bieneusi. Recently Septata intestinalis has been described as a cause of diarrhoea and disseminated infection in patients with AIDS. A 44-year-old homosexual man with severe immunodeficiency (CD4 cell count 40/microliters) had a history of watery diarrhoea for 2 weeks. Microsporidian spores measuring 1.2 to 1.5 x 2.5 to 3.0 microns were found in stool samples. Electron microscopy of duodenal biopsies confirmed the diagnosis of intestinal microsporidiosis and showed parasitophorous vacuoles with the typical ultrastructure of S. intestinalis. The patient was treated with albendazole (400 mg twice daily) and became asymptomatic within 4 days. No spores could be detected in stool samples after a treatment period of 14 days. About 25 infections with S. intestinalis have been reported to date, and the case presented here is the first in a German patient.

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Citations

Jul 14, 1999·Diagnostic Microbiology and Infectious Disease·C Franzen, A Müller
Apr 25, 2013·Antimicrobial Agents and Chemotherapy·Maria Anete LalloJoão Manoel de Castro
Jan 1, 1997·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·S Katzwinkel-WladarschH Rinder
May 1, 1997·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·N P KockJ Schottelius
Oct 11, 2002·Scandinavian Journal of Infectious Diseases·Veronica SvedhemAgneta Aust-Kettis
Mar 2, 2013·The Cochrane Database of Systematic Reviews·Liesl GroblerJimmy Volmink
Dec 24, 2019·Medical Mycology·I F Abou-El-NagaS X A N X A El Achy
Nov 17, 1998·Scandinavian Journal of Infectious Diseases·K LederS M Crowe

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