Therizol-Ferly P M, Tagliante-Saracino J, Kone M, Konan A, Ouhon J, Assoumou A, Aka K, Assale G
Laboratoire de Parasitologie-Mycologie, CHU de Cocody.
Bull Soc Pathol Exot Filiales. 1989;82(5):690-3.
148 adult patients with chronic diarrhoea and suspected to be HIV infected have had stool examinations. 46 are without any enteric parasite. Those detected in the others patients are Sporozoans: I. belli (16.2%) and Cryptosporidium sp. (6.7%) found alone or joint, together or with other parasites. Among those, all Flagellate species are identified, but T. intestinalis (6%) is predominant. Entamoeba coli (8.%) is the most frequent amebic species, however, E. histolytica histolytica have been found twice, once singly, the second associated with I. belli, Schistosoma mansoni and Candida albicans. Necator americanus (14%) and Strongyloides stercoralis (12%) are the predominant worm species. Among the yeasts, C. albicans (35.8%) is the most important species isolated, singly in 13.5% of the patients. In an intertropical and parasitical endemic area where many parasites are not considered uncommon, opportunist agents as I. belli, Cryptosporidium sp. and C. albicans appear in an non-negligible frequency in our study.
148名患有慢性腹泻且疑似感染艾滋病毒的成年患者接受了粪便检查。46名患者未发现任何肠道寄生虫。在其他患者中检测到的有孢子虫：贝氏等孢球虫（16.2%）和隐孢子虫属（6.7%），单独或合并、共同或与其他寄生虫一起被发现。其中，所有鞭毛虫种类均已鉴定，但是肠三毛滴虫（6%）占主导。结肠内阿米巴（8%）是最常见的阿米巴种类，不过，溶组织内阿米巴已被发现两次，一次单独出现，第二次与贝氏等孢球虫、曼氏血吸虫和白色念珠菌同时出现。美洲板口线虫（14%）和粪类圆线虫（12%）是主要的蠕虫种类。在酵母菌中，白色念珠菌（35.8%）是分离出的最重要的种类，在13.5%的患者中单独出现。在一个许多寄生虫并不罕见的热带寄生虫流行地区，在我们的研究中，像贝氏等孢球虫、隐孢子虫属和白色念珠菌这样的机会性致病原出现的频率不可忽视。
