Lim Y A L, Rohela M, Sim B L H, Jamaiah I, Nurbayah M
Department of Parasitology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.
Southeast Asian J Trop Med Public Health. 2005;36 Suppl 4:30-3.
A total of 66 fecal specimens obtained from patients infected with human immunodeficiency virus (HIV) from Kajang Hospital were screened for Cryptosporidium oocysts. The fecal specimens were concentrated using the formalin ethyl acetate concentration technique, stained with modified Ziehl-Neelsen and confirmed with immunofluorescence stain. It was established that 2 (3.0%) were positive for Cryptosporidium. The two cases involved a Chinese local man (with diarrhea) and an Indonesian foreigner (without diarrhea). A higher index of suspicion for clinical cryptosporidiosis in HIV patients, including those with chronic weight loss with or without diarrhea, is recommended. In addition, laboratory testing for Cryptosporidium in HIV-infected patients is highly recommended in order to have a better understanding of the epidemiology and management of the disease in Malaysia.
从加影医院感染人类免疫缺陷病毒（HIV）的患者中获取了66份粪便标本，对其进行隐孢子虫卵囊筛查。粪便标本采用福尔马林乙酸乙酯浓缩技术进行浓缩，用改良齐-尼氏染色法染色，并通过免疫荧光染色进行确认。结果确定有2份（3.0%）隐孢子虫呈阳性。这两例病例包括一名华裔本地男子（有腹泻症状）和一名印尼外籍人士（无腹泻症状）。建议对HIV患者，包括那些有或无腹泻症状的慢性体重减轻患者，提高对临床隐孢子虫病的怀疑指数。此外，强烈建议对HIV感染患者进行隐孢子虫的实验室检测，以便更好地了解马来西亚该疾病的流行病学和管理情况。
