Blanshard C, Ellis D S, Dowell S P, Tovey G, Gazzard B G
HIV/Genitourinary Medicine Department, Chelsea and Westminster Hospital, London.
J Clin Pathol. 1993 Oct;46(10):898-902. doi: 10.1136/jcp.46.10.898.
To identify and describe electron microscopic changes occurring in Enterocytozoon bieneusi in patients treated with albendazole.
Eighteen HIV seropositive patients with E bieneusi infection of the small intestine were treated with albendazole 400 mg twice a day for one month. Duodenal biopsy specimens obtained before and at the end of treatment were examined electron microscopically by a pathologist who was unaware of the clinical response. A semiquantitative assessment of the parasite load and description of the parasite morphology was made.
A complete resolution of diarrhoea occurred in nine patients and a further three had a greater than 50% reduction in baseline stool frequency or volume. Three of the non-responders were also infected with cryptosporidium. There was a reduction in parasite load in those responding to treatment and an increase in abnormal forms in both responders and non-responders.
The clinical response to albendazole treatment seen in some patients with small intestine microsporidiosis may be due to damage to the developmental stages, causing a partial inhibition of parasite reproduction.
