Kumar S S, Ananthan S, Lakshmi P
Dept. of Microbiology, Dr. ALM PGIBMS, University of Madras, Taramani, Chennai - 600 113, India.
Indian J Med Microbiol. 2002 Apr-Jun;20(2):88-91.
To determine the prevalence of intestinal parasites in HIV patients with and without diarrhoea in Chennai.
A total of 150 stool samples, 41 - acute diarrhoea, 59 - chronic diarrhoea and 50 control samples without diarrhoea were collected and examined for enteric parasites by microscopy.
Enteric parasites were detected in 39% patients with diarrhoea compared to 14% in patients without diarrhoea. Isospora belli was found in 18.6% (11/59) of chronic diarrhoea and 7.3% (3/41) in acute diarrhoea (P > 0.2). Cryptosporidium was detected in 7 cases each in acute and chronic diarrhoea, which was statistically insignificant as compared to the control group (P> 0.05). Microsporidia and Cyclospora cayetanensis associated diarrhoea were detected in only one chronic case each 1/59 (1.69 %).
Isospora belli appeared to be a predominant parasite associated with diarrhoea among HIV patients. Detection rate of Microsporidia and Cyclospora was found to be very low.
确定钦奈有腹泻和无腹泻的HIV患者肠道寄生虫的患病率。
共收集150份粪便样本,其中41份为急性腹泻样本,59份为慢性腹泻样本,50份为无腹泻的对照样本,并通过显微镜检查肠道寄生虫。
腹泻患者中肠道寄生虫检出率为39%,无腹泻患者为14%。贝氏等孢球虫在18.6%(11/59)的慢性腹泻患者和7.3%(3/41)的急性腹泻患者中被发现(P>0.2)。急性和慢性腹泻患者中各有7例检测到隐孢子虫,与对照组相比无统计学意义(P>0.05)。微孢子虫和卡耶塔环孢子虫相关性腹泻在慢性病例中各仅检测到1例,各占1/59(1.69%)。
贝氏等孢球虫似乎是HIV患者中与腹泻相关的主要寄生虫。微孢子虫和环孢子虫的检出率非常低。