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Detection of Emergence Cyclospora Cayetanensis in a Hiv+ /Aids Patient With Diarrhea From Tehran: A Case Report



Khanaliha K1 ; Mohebali M1 ; Davoudi S2 ; Reza Hosseini O2 ; Tarighi F1 ; Rezaeian T1 ; Rezaeian M1, 3
Authors
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Authors Affiliations
  1. 1. Dept. of Medical Parasitology and Mycology, School Of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Dept. of Infectious Diseases, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Center for Research of Endemic Parasites of Iran (CREPI), Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Public Health Published:2015

Abstract

Coccidian protozoa of Cyclospora cayetanensis are obligate intracellular apicomplexan parasites that infect the mucosal epithelium of the small intestine of immunocompetent and immunocompromised persons. A 25- years old woman from around, Tehran with complaint of faintness and fatigue with HIV positive/AIDS confirmed eight months ago was admitted in Imam Khomeini Hospital, Tehran, Iran in 2014. The patient suffered from intestinal and lung symptoms like watery diarrhea, flu-like symptoms. The stool was examined by direct preparation and concentration technique, stained with modified acid-fast staining method, and observed with light and then Immunofluorescence microscope. The stool cultivation was made in dichromate potassium medium and diagnosis of Cyclospora infection was finally made according to observation of Cyclospora oocysts almost 10 µm in acid-fast staining method and autofluorescence of Cyclospora under Immunofluorescence microscope. The patient was initially treated with azithromycin, tazocin and fluconazol because of lung lesions and diarrhea and relative remission was observed. Cyclospora sp. causes an intestinal infection particularly in immunocompromised patients. © 2015, Iranian Journal of Public Health. All rights reserved.