CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Centr. eur. J. publ. Hlth 7, 1999, No 1, p. 43–46 | |
ENCEPHALITOZOON INTESTINALE ENCEPHALITOZOON INTESTINALE
INFECTION IN AN AIDS PATIENT
– A CASE REPORT Kučerová-Pospíšilová Z. 1 , Staňková M. 2 , Ditrich O. 1,3 Institute of Parasitology, Academy of Sciences of the Czech Republic, České Budějovice 2 Clinic of Infectious Diseases, University Hospital Bulovka, Prague 3 Faculty of Biological Sciences, University of South Bohemia, České Budějovice, Czech Republic |
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Summary: The first case of one of the most frequent intestinal microsporidians, Encephalitozoon intestinale, is reported from an AIDS patient in
the Czech Republic. The patient experienced diarrhoea and was found to have microsporidia spores in stool. Species determination by
electron microscopy confirmed the diagnosis of the microsporidian, E. intestinale. The CD4-count at the time of the diagnosis was 73
cells/mm 3 , IRI = 0.21. Only after symptomatic therapy and rehydration the patient stopped the complaining, and although he refused an
antimicrosporidial therapy, the CD4-count one month later increased to 200 cells/mm 3 and patient didn't suffered from diarrhoea. Six
months after the first finding of microsporidia, the patient was admitted to the hospital care for progressive encephalopathy and developing
wasting syndrome again with the intermittent diarrhoea. The patient was treated with albendazole at that time. Nevertheless, after 14 days
of albendazole therapy, he still remained positive for E. intestinale spores in the stool (urine specimens remained negative for all the time).
The patient died after a two-month hospitalisation and the apparent cause of death was purulent bronchopneumonia, wasting syndrome
with microsporidiosis, and HIV encephalopathy. Generalised mycobacteriosis (MAC) was also found from the autopsy material.
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