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1996-03-09
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Document 0360
DOCN M9650360
TI High prevalence of Enterocytozoon bieneusi infections among HIV-positive
individuals with persistent diarrhoea in Harare, Zimbabwe.
DT 9605
AU van Gool T; Luderhoff E; Nathoo KJ; Kiire CF; Dankert J; Mason PR;
Department of Medical Microbiology, University of Amsterdam, The;
Netherlands.
SO Trans R Soc Trop Med Hyg. 1995 Sep-Oct;89(5):478-80. Unique Identifier :
AIDSLINE MED/96142781
AB Infection with the microsporidian parasite Enterocytozoon bieneusi may
be a major cause of prolonged diarrhoea in individuals also infected
with human immunodeficiency virus (HIV). The parasite has been reported
from Europe, Australia and the Americas, with a prevalence of 7-29%.
Faecal specimens were obtained from 202 adults and 106 children in
Harare, Zimbabwe, all of whom were in hospital and had diarrhoea. HIV
serology was available for 119 adults: 106 were HIV seropositive. There
were clinical grounds for suspecting HIV infection in 23 of the
remaining patients. E. bieneusi was identified in specimens from 13/129
patients (10%) for whom HIV infection was indicated by serology and/or
clinical signs, 1/60 patients (2%) of uncertain HIV status, and 0/13
seronegative patients. 18/106 children were HIV seropositive and 12 were
not; HIV serology was not available for the remainder, but 19 were
strongly suspected of being infected with HIV on clinical criteria. E.
bieneusi was not detected in samples from any child. As is common in
Zimbabwe, the prevalence of other parasites in faecal specimens was low
and, amongst patients with proven or suspected HIV infection, E.
bieneusi was the most prevalent parasite identified, particularly in
patients with diarrhoea of over 4 weeks duration.
DE Adolescence Adult Aged Animal Diarrhea/PARASITOLOGY
Feces/PARASITOLOGY Female Human HIV Seropositivity/*COMPLICATIONS
Male Microspora Infections/COMPLICATIONS/*EPIDEMIOLOGY
Microsporida/ISOLATION & PURIF Middle Age Prevalence Support,
Non-U.S. Gov't Zimbabwe/EPIDEMIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).