Human Isosporosis in the Western Hemisphere

Faust, Ernest Carroll; Giraldo, Luis E.; Caicedo, Gladys; Bonfante, Rafael

doi:10.4269/ajtmh.1961.10.343

Cited by 41 publications

(19 citation statements)

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“…Algorithms for the management of malabsorption in the tropics require that HIV illness be first excluded by appropriate testing. I belli infection is endemic in many parts of Africa, Asia and South America, 26 and 5-10% of stool specimens in Asia and Africa are positive for cryptosporidia. 27 Paromomycin, and more recently nitazoxanide, is useful in the treatment of diarrhoeal illness associated with cryptosporidia.…”

Section: Protozoal Infectionsmentioning

confidence: 99%

Tropical malabsorption

Ramakrishna

Venkataraman

Mukhopadhya

2006

Postgraduate Medical Journal

125

100

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Malabsorption is an important clinical problem both in visitors to the tropics and in native residents of tropical countries. Infections of the small intestine are the most important cause of tropical malabsorption. Protozoal infections cause malabsorption in immunocompetent hosts, but do so more commonly in the setting of immune deficiency. Helminth infections occasionally cause malabsorption or protein-losing enteropathy. Intestinal tuberculosis, chronic pancreatitis and small-bowel bacterial overgrowth are important causes of tropical malabsorption. In recent years, inflammatory bowel disease and coeliac disease have become major causes of malabsorption in the tropics. Sporadic tropical sprue is still an important cause of malabsorption in adults and in children in South Asia. Investigations to exclude specific infective, immunological or inflammatory causes are important before considering tropical sprue as a diagnosis. This article briefly reviews the management of tropical sprue and presents an algorithm for its investigation and management.

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Section: Protozoal Infectionsmentioning

confidence: 99%

Tropical malabsorption

Ramakrishna

Venkataraman

Mukhopadhya

2006

Postgraduate Medical Journal

125

100

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“…In 10 of the infected patients it was also diagnosed Giardia lamblia (4), Endolimax nana (6) and Entamoeba colt (7). Only one patient was detected to have Entamoeba histolytica.…”

Section: Discussionmentioning

confidence: 99%

“…En 10 de los infectados se diagnostico ademas Giardia lamblia (4), Endoltmax nana (6) y Entamoeba coh (7). En un solo paciente se pesquiso Entamoeba histolytica.…”

Section: Introductionunclassified

Algunos aspectos clínicos y epidemiológicos de la isosporosis intestinal: Estudio en 26 pacientes pediátricos de la ciudad de Antofagasta

Sagua¹,

Zamorano²,

Soto³

et al. 1979

Rev. chil. pediatr.

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“…1 Only a few hundred cases of human isosporiasis were described until it became an opportunistic infection in immunocompromised, predominantly human immunodeficiency virus-infected patients. 2 Transmission occurs via fecal-oral route, mainly by ingestion of infectious oocysts from contaminated food and water. Like other members of the class Coccidia, I. belli causes a self-limited gastrointestinal disease characterized by watery diarrhea.…”

Section: Introductionmentioning

confidence: 99%

Comparison of autofluorescence and iodine staining for detection of Isospora belli in feces.

Bialek

Binder²,

Dietz³

et al. 2002

The American Journal of Tropical Medicine and Hygiene

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Abstract. To evaluate the sensitivity of autofluorescence for detection of Isospora oocysts, wet preparations of 192 stool samples from patients with chronic diarrhea were examined by fluorescence microscopy and by light microscopy after iodine staining used for routine screening for ova and parasites. Silicon-chambered glass coverslips were used for fluorescence microscopy. Isospora oocysts were detected in 46 iodine-stained concentrated stool samples; 91 samples were positive by autofluorescence. According to the maximum likelihood estimates, examination by fluorescence (95.7%; 95% confidence interval [CI], 85.2-99.5) was significantly more sensitive than iodine staining (48.4%; 95% CI, 37.7-59.1). Examination for autofluorescence is a simple, highly sensitive, inexpensive, and easily applicable method to detect Isospora spp. oocysts in feces.

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Human Isosporosis in the Western Hemisphere

Cited by 41 publications

References 0 publications

Tropical malabsorption

Tropical malabsorption

Algunos aspectos clínicos y epidemiológicos de la isosporosis intestinal: Estudio en 26 pacientes pediátricos de la ciudad de Antofagasta

Comparison of autofluorescence and iodine staining for detection of Isospora belli in feces.

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