We present the case of a four year old boy with a
history of repeated
upper respiratory tract infections and
pyoderma . He presented
fever , seizures, inhability to talk, loss of
swallowing ,
fine tremor in the
upper extremities ; positive bilateral
Babinski reflex and
quadriparesis . The
diagnosis of Brutonïs
disease and generalized microporidiosis was based on immunologic
analysis , smear tests with chromotrope R2
stain and indirect immunofluorescense with monoclonal 3B6 antibody for
Encephalitozoon species in samples of spinal fluid, bronchial and paranasal sinus aspirates and stool, which were all positive. The
patient was treated with albendazol during 72 days; he left the
hospital in a good condition,
walking , talking and able to swallow. His
laboratory test controls were negative; he is followed up in the
outpatient department