Isosporosis and unizoite tissue cysts in patients with acquired immunodeficiency syndrome

• Autores: Velásquez, Jorge Néstor; Carnevale, Silvana; Mariano, Marta; Kuo, L H; Caballero, A; Chertcoff, Agustín; Ibáñez, Cecilia I.; Bozzini, Juan Pablo
• Año de publicación: 2001
• Idioma: inglés
• Tipo de recurso: artículo
• Fuente: Human Pathology 2001;32(5):500-505
• Materia: Quistes; Síndrome de Inmunodeficiencia Adquirida; Isosporiasis
• Institución: Administración Nacional de Laboratorios e Institutos de Salud "Dr. Carlos G. Malbrán"

Fil: Velásquez, Jorge Néstor. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas. Departamento de Parasitología; Argentina
Fil: Carnevale, Silvana. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas. Departamento de Parasitología; Argentina
Fil: Mariano, Marta. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas. Servicio de Microscopía Electrónica; Argentina.
Fil: Kuo, Lien. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas. Servicio de Microscopía Electrónica; Argentina.
Fil: Caballero, A. Hospital General de Agudos Jose María Penna, Ciudad Autónoma de Buenos Aires; Argentina.
Fil: Chertcoff, Agustín. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas. Servicio de Microscopía Electrónica; Argentina.
Fil: Ibáñez, Cecilia I. Hospital General de Agudos Jose María Penna, Ciudad Autónoma de Buenos Aires; Argentina.
Fil: Bozzini, Juan Pablo. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas. Servicio de Microscopía Electrónica; Argentina.
Isospora belli, a coccidian parasite in humans, has been described as causing chronic diarrhea and acalculous cholecystitis in patients with the acquired immunodeficiency syndrome (AIDS). Diagnosis can be made at the tissue level in the epithelium of the small bowel and by fecal examination. Disseminated extraintestinal forms are uncommon. We studied 118 adult patients with AIDS and chronic diarrhea using stool analysis and endoscopy with duodenal biopsy specimen collection. These samples were processed by routine histology and transmission electron microscopy. Isosporosis was diagnosed in 8 cases. In 2 of them, unizoite tissue cysts were present in the lamina propria, with negative results in stool materials. The cysts were located within a large parasitophorous vacuole. There were no structural means of differentiating the species level of Isospora based on morphology using light or electron microscopy. We believe further work should be done to determine if unizoite tissue cysts are part of the cycle of I belli or of other species of Isospora that could be pathogenic in immunocompromised hosts.