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Cryptosporidium, Enterocytozoon, and Cyclospora Infections in Pediatric and Adult Patients with Diarrhea in Tanzania.

Cegielski, J. P., Ortega, Y. R., McKee, S., Madden, J. F., Gaido, L., Schwartz, D. A., Manji, K., Jorgensen, A. F., Miller, S. E., Pulipaka, U. P., Msengi, A. E., Mwakyusa, D. H., Sterling, C. R. and Reller, L. B. (1999) Cryptosporidium, Enterocytozoon, and Cyclospora Infections in Pediatric and Adult Patients with Diarrhea in Tanzania. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 28 (2). pp. 314-21. ISSN 1058-4838

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Abstract

Cryptosporidiosis, microsporidiosis, and cyclosporiasis were studied in four groups of Tanzanian inpatients: adults with AIDS-associated diarrhea, children with chronic diarrhea (of whom 23 of 59 were positive [+] for human immunodeficiency virus [HIV]), children with acute diarrhea (of whom 15 of 55 were HIV+), and HIV control children without diarrhea. Cryptosporidium was identified in specimens from 6/86 adults, 5/59 children with chronic diarrhea (3/5, HIV+), 7/55 children with acute diarrhea (0/7, HIV+), and 0/20 control children. Among children with acute diarrhea, 7/7 with cryptosporidiosis were malnourished, compared with 10/48 without cryptosporidiosis (P < .01). Enterocytozoon was identified in specimens from 3/86 adults, 2/59 children with chronic diarrhea (1 HIV+), 0/55 children with acute diarrhea, and 4/20 control children. All four controls were underweight (P < .01). Cyclospora was identified in specimens from one adult and one child with acute diarrhea (HIV-). Thus, Cryptosporidium was the most frequent and Cyclospora the least frequent pathogen identified. Cryptosporidium and Enterocytozoon were associated with malnutrition. Asymptomatic fecal shedding of Enterocytozoon in otherwise healthy, HIV children has not been described previously.

Item Type: Article
Keywords: Cryptosporidium, Enterocytozoon, and Cyclospora, Pediatric, Diarrhea, HIV, Tanzania
Subjects: Emerging and Re-emerging Infectious Diseases
Divisions: Muhimbili University of Health and Allied Sciences (MUHAS)
Depositing User: Mr Joseph Madata
Date Deposited: 27 Nov 2013 06:12
Last Modified: 27 Nov 2013 06:12
URI: http://ihi.eprints.org/id/eprint/2295

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