2012
DOI: 10.1590/s0037-86822012000600023
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Common variable immunodeficiency and isosporiasis: first report case

Abstract: We report a severe case of diarrhea in a 62-year-old female HIV-negative patient from whom Giardia lamblia and Isospora belli were isolated. Because unusual and opportunistic infections should be considered as criteria for further analysis of immunological status, laboratory investigations led to a diagnosis of common variable immunodeficiency (CVID). This is the first reported case of isosporiasis in a patient with CVID and illustrates the importance of being aware of a possible link, particularly in relation… Show more

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Cited by 8 publications
(6 citation statements)
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“…In the setting of immunosuppression, diarrhea with malabsorption, dehydration, and weight loss is common. Symptoms may persist for months, and may be the presenting manifestation of underlying malignancy, HIV, or primary immunodeficiency [64-67]. In approximately 50% of patients a mild eosinophilia is seen over the course of illness [68, 69].…”
Section: Eosinophilia In the Short Term Travelermentioning
confidence: 99%
“…In the setting of immunosuppression, diarrhea with malabsorption, dehydration, and weight loss is common. Symptoms may persist for months, and may be the presenting manifestation of underlying malignancy, HIV, or primary immunodeficiency [64-67]. In approximately 50% of patients a mild eosinophilia is seen over the course of illness [68, 69].…”
Section: Eosinophilia In the Short Term Travelermentioning
confidence: 99%
“…They may occur in a recurring basis and, thus, the patient has a much larger number of infections that the average for his age group, or may present more severe infections, with increased risk ( 8 ) . The patients with PIDs may also present with PIDs infections caused by unusual pathogens ( 9 ) . …”
Section: Discussionmentioning
confidence: 99%
“…Podem ocorrer de forma recorrente e, assim, o paciente apresenta um número muito maior de infecções que o habitualmente encontrado para sua faixa etária, ou podem ser mais graves, com risco acentuado à vida do paciente ( 8 ) . Os portadores de IDP podem ainda apresentar infecções causadas por patógenos não usuais ( 9 ) . …”
Section: Discussionunclassified
“…Gastrointestinal disturbances are common in CVID, with diarrhoea being the most common symptom reported [62][63][64][65][66][67][68]. Common causes include enteropathogens such as Giardia, Salmonella, Campylobacter and Cryptosporidium, with a variety of case reports of other common or unusual organisms [63,66,67,[69][70][71]. However, a range of inflammatory gastrointestinal pathologies are described [63,72].…”
Section: Common Variable Immunodeficiency (Cvid) Enteropathymentioning
confidence: 99%