Tadesse Abilo, Kassu Afework
Gondar University.
Ethiop Med J. 2005 Apr;43(2):93-6.
Chronic diarrhea is one of the major AIDS-defining illnesses in WHO Classification and occurs in 60-90% of HIV-infected patients in Africa. We did a case series study on parasite isolation in stool samples of AIDS patients with chronic diarrhea using wet-mount, Formol-Ether concentration technique and Modified Acid-Fast staining method in Gondar Teaching Hospital between January and September 2000. Seventy AIDS patients with chronic diarrhea were included in the study. Wasting syndrome was the clinical presentation in (97%) almost all AIDS patients who had chronic diarrhea. Intestinal parasites were detected in 41 out of 70 diarrheal specimens in AIDS patients. Multiple parasitic injections were detected in three diarrheal specimens. Intracellular parasite, (29%) Cryptosporidium parvum, and mucosal parasite, (17%) Strongyloides stercoralis were the frequently isolated parasites in diarrheal specimens of AIDS patients, accounting for 80% diarrhaegen pathogens among positive specimens. Cryptosporidium parvum, under-estimated cause of chronic diarrhea in immunocompetent adults, was found to be the prominent diarrheagen in AIDS patients in this study, similar with other studies in different African countries.
慢性腹泻是世界卫生组织分类中主要的艾滋病界定疾病之一,在非洲60%-90%的HIV感染患者中都会出现。2000年1月至9月期间,我们在贡德尔教学医院采用湿片法、甲醛乙醚浓缩技术和改良抗酸染色法,对患有慢性腹泻的艾滋病患者粪便样本中的寄生虫分离情况进行了病例系列研究。70例患有慢性腹泻的艾滋病患者被纳入研究。消瘦综合征是几乎所有(97%)患有慢性腹泻的艾滋病患者的临床表现。在70例艾滋病患者的腹泻样本中,有41例检测出肠道寄生虫。在3份腹泻样本中检测到多种寄生虫感染。细胞内寄生虫(29%)微小隐孢子虫和黏膜寄生虫(17%)粪类圆线虫是艾滋病患者腹泻样本中最常分离出的寄生虫,在阳性样本中占腹泻病原体的80%。微小隐孢子虫在免疫功能正常的成年人中是被低估的慢性腹泻病因,在本研究中发现它是艾滋病患者中主要的腹泻病原体,这与在非洲不同国家进行的其他研究结果相似。