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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

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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