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Severe Diarrhea Due to Cystoisospora Belli Infection in an Htlv-1 Woman



Shafiei R1, 2 ; Najjari M3 ; Kheirabad AK4 ; Hatam G5
Authors
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Authors Affiliations
  1. 1. Vector-borne Diseases Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
  2. 2. Dept. of Parasitology and Mycology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  3. 3. Dept. of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  4. 4. Dept. of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Basic Sciences in Infectious Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Source: Iranian Journal of Parasitology Published:2016

Abstract

Cystoisospora belli, formerly Isospora belli, as an opportunistic infection agent, is seen in immunocompromised patients like HTLV- 1. We describe here cystoisosporiasis in an HTLV1 Iranian female in Mashhad, northwestern Iran in 2012 who presented with a debilitating diarrheal illness and great weight loss. C. belli was detected in her stool by modified acid-fast staining and then by molecular detection. Serologic test-ing was negative for HIV but she showed positivity for HTLV-1 infection. Treat-ment with TMP/SMX led to improvement of her diarrhea but she died after one year due to malabsorption syndrome. Adequate detection of C. belli diarrhea in im-munocompromise patients of HTLV1 in endemic area can be cured by TMP/SMX. © 2016, Tehran University of Medical Sciences (TUMS). All right reserved.
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