Gastric cryptosporidiosis as a clue for the diagnosis of the acquired immunodeficiency syndrome

C, Clemente; Caramori, Carlos Antonio; Padula, P.; Rodrigues, Maria Aparecida Marchesan

doi:10.1590/s0004-28032000000300008

Cited by 19 publications

(12 citation statements)

References 21 publications

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“…Endoscopy may show fold thickening of the mucosa, with an erythematous and granular appearance that is most prominent in the duodenum [49] . In general, duodenal erosions or ulcers are not found.…”

Section: Cryptosporidiummentioning

confidence: 99%

Role of upper endoscopy in diagnosing opportunistic infections in human immunodeficiency virus-infected patients

Werneck-Silva¹,

Prado²

2009

WJG

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Highly active antiretroviral therapy (HAART) has dramatically decreased opportunistic infections (OIs) in human immunodeficiency virus (HIV)-infected patients. However, gastrointestinal disease continues to account for a high proportion of presenting symptoms in these patients. Gastrointestinal symptoms in treated patients who respond to therapy are more likely to the result of drug-induced complications than OI. Endoscopic evaluation of the gastrointestinal tract remains a cornerstone of diagnosis, especially in patients with advanced immunodeficiency, who are at risk for OI. The peripheral blood CD4 lymphocyte count helps to predict the risk of an OI, with the highest risk seen in HIV-infected patients with low CD4 count (< 200 cells/mm 3 ). This review provides an update of the role of endoscopy in diagnosing OI in the upper gastrointestinal tract in HIV-infected patients in the era of HAART.

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Section: Cryptosporidiummentioning

confidence: 99%

Role of upper endoscopy in diagnosing opportunistic infections in human immunodeficiency virus-infected patients

Werneck-Silva¹,

Prado²

2009

WJG

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“…While Cryptosporidium sp settles primarily in the gastrointestinal systems of persons having normal immune systems, causing diarrhoea, it can lead to various clinical manifestations (gastritis, sinusitis, cholecystitis, pancreatitis, hepatitis) in extraintestinal sites like the respiratory system in immunodeficient patients (6,13,15). In a study conducted by Clavel et al(16) 57 respiratory cryptosporidiosis cases were reported since 1980 and that all of these cases were immunodeficient patients (16)(17)(18)(19).…”

Section: Discussionmentioning

confidence: 99%

Disseminated cryptosporidiosis in Turkey: case report

Dirim

Dağcı²,

Turgay³

2004

E Af Med Jrnl

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SUMMARYCryptosporidium sp is a protozoan that displays an intracellular settlement primarily in the intestinal systems of humans and can result in diarrhoea. Undernourished children and persons with immunosuppression in developing countries are especially vulnerable to infection with this parasite. A 12-month-old female presented at Ege University, Faculty of Medicine, Department of Paediatrics with complaints of fever, diarrhoea, respiratory distress and growth-development retardation was diagnosed with CD40 deficiency (Hyper IgM Type 3). During the one year investigation process of the case with chronic diarrhoea and necrotic pneumonia, Cryptosporidium sp oocysts were found in nine of the 22 faecal examinations and also in transtracheal aspiration liquid examined using the Kinyoun Acid-fast staining method. In conclusion, it is thought that cryptosporidiosis should also be considered in the distinct diagnosis of immunodeficient infants who are presented with respiratory and gastrointestinal system complaints.

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“…Classically, the ileal mucosa is the focus for colonization, although it can also infect the large bowel, stomach, and biliary tract [1]. There have been few reports of isolated gastric Cryptosporidium infestation in HIV-positive individuals; however, to our knowledge, there have been no published cases of isolated gastric Cryptosporidium in HIVnegative patients [2].…”

Section: Introductionmentioning

confidence: 98%

Isolated Gastric Cryptosporidiosis in an Immunocompetent Patient

et al. 2007

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Gastric cryptosporidiosis as a clue for the diagnosis of the acquired immunodeficiency syndrome

Abstract: -Cryptosporidium parvum has been detected with increasing frequency in the gastrointestinal

Cited by 19 publications

References 21 publications

Role of upper endoscopy in diagnosing opportunistic infections in human immunodeficiency virus-infected patients

Role of upper endoscopy in diagnosing opportunistic infections in human immunodeficiency virus-infected patients

Disseminated cryptosporidiosis in Turkey: case report

Isolated Gastric Cryptosporidiosis in an Immunocompetent Patient

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