Recurrent diarrhea due to Cystoisopora belli in HIV/AIDS patients receiving HAART

Authors

  • Raúl Montalvo Servicio de Enfermedades Infecciosas y Tropicales, Hospital Daniel Alcides Carrión. Huancayo, Perú. Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia. Lima, Perú. Médico infectólogo.
  • Eduardo Ticona Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Marco Ñavincopa Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Yuri García Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Gonzalo Chávez Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Víctor Chávez Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Jorge Arévalo Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Jaime Soria Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Alina Huiza Instituto de Medicina Tropical “Daniel A. Carrión”, Universidad Nacional Mayor de San Marcos. Lima- Perú. bióloga.

DOI:

https://doi.org/10.17843/rpmesp.2013.302.213

Keywords:

Coccidioides, HIV infection, Diarrhea, Antiretroviral therapy, highly active

Abstract

The Cystoisospora belli, before denominated as Isospora belli, is the etiologic agent of cystoisosoporiasis, an opportunistic infection affecting immunocompromised patients, characterized by chronic diarrhea and weight loss. The incidence of chronic diarrhea for this agent, in HIV patients, has decreased considerably. This thanks to the advent of highly active antiretroviral therapy (HAART), which has improved the patient’s immune response and decrease viral load. We present six cases of cystoisosoporiasis recurrent and refractory to treatment in HIV patients, who was being treated with with trimethoprim / sulfamethoxazole (TMP / SMX) orally as a prophylaxis. Five of these patients passed away due to the infection, despite of the fact that they had a good response to HAART (adequate increase in CD4 and viral load undetectable) and they had been treated with second line drugs.

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Published

2014-02-10

Issue

Section

Case Report

How to Cite

1.
Montalvo R, Ticona E, Ñavincopa M, García Y, Chávez G, Chávez V, et al. Recurrent diarrhea due to Cystoisopora belli in HIV/AIDS patients receiving HAART. Rev Peru Med Exp Salud Publica [Internet]. 2014 Feb. 10 [cited 2024 Jun. 23];30(2). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/213

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