Weitzel T, Wolff M, Dabanch J, Levy I, Schmetz C, Visvesvara G S, Sobottka I
Dept. of Medicine (Infectious Diseases), Charité, Humboldt-University, Berlin, Germany.
Infection. 2001 Aug;29(4):237-9. doi: 10.1007/s15010-001-1164-0.
This report describes the first dual microsporidial infection with Encephalitozoon cuniculi and Enterocytozoon bieneusi in an HIV-positive patient. In view of clinical and epidemiological findings, our E. cuniculi isolate was deduced to be of the dog strain. The patient's occupational involvement with dogs indicates that canines should be considered as a reservoir of human infections for both microsporidial species. Furthermore, our report provides detailed clinical and radiological information on a rare case of a symptomatic pulmonary infection by E. cuniculi and its improvement after treatment with albendazole.
本报告描述了首例HIV阳性患者同时感染兔脑炎微孢子虫和比氏肠微孢子虫的双重微孢子虫感染病例。鉴于临床和流行病学调查结果，我们推断分离出的兔脑炎微孢子虫菌株为犬类菌株。该患者的职业与犬类相关，这表明犬类应被视为这两种微孢子虫人类感染的储存宿主。此外，我们的报告提供了关于兔脑炎微孢子虫引起的有症状肺部感染这一罕见病例的详细临床和放射学信息，以及使用阿苯达唑治疗后的病情改善情况。
