ABSTRACT
Toxoplasmosis is a severe opportunistic infection in patients infected with the human immunodeficiency virus (HIV). The lung is a major site of infection after the central nervous system. In this report we described two cases of pneumonia due to Toxoplasma gondii infection in HIV patients with antiretroviral therapy. Clinical and radiological abnormalities are not specific. Pulmonary toxoplasmosis should be considered in HIV-infected patients with late stage of HIV, CD4 count less than 100 cells/µl and a poor adherence to HAART.
ABSTRACT
Sarcocystis sp is a tissue coccidian parasite in humans that causes intestinal and muscular sarcocystosis in immunocompetent patients. Intestinal sarcocystosis can be diagnosed at the tissue level in the lamina propria of the small bowel and by fecal examination. Muscular sarcocystosis is diagnosed by microscopic examination of muscle biopsies. This report describes a case of systemic sarcocystosis in an HIV-infected patient. We studied a 31-year-old patient with AIDS, chronic diarrhea, cholestatic hepatitis, and musculoskeletal pain by stool analysis and endoscopy with duodenal and liver biopsy specimens that were processed for routine histology. The microgamete and macrogamete stages of Sarcocystis sp were present in the lamina propria, with sporulated oocysts in feces. Schizont stages of the protozoa were found in liver biopsy. In summary, sarcocystosis should be considered another opportunistic infection in HIV-infected patients.
Subject(s)
AIDS-Related Opportunistic Infections/diagnosis , Sarcocystosis/diagnosis , AIDS-Related Opportunistic Infections/parasitology , AIDS-Related Opportunistic Infections/pathology , Adult , Diagnosis, Differential , Duodenum/parasitology , Duodenum/pathology , Humans , Liver/parasitology , Liver/pathology , Male , Sarcocystosis/parasitology , Sarcocystosis/pathologyABSTRACT
This study involved ninety five formalin-fixed paraffin-embedded duodenal biopsy specimens retrieved from hospital files that were microscopically observed for the presence of microsporidia. Eleven samples that revealed compatible organisms were analyzed by the polymerase chain reaction (PCR) with four different protocols for the detection of Enterocytozoon bieneusi. Amplicons of the right size were obtained by at least one method for nine samples, remaining two negative ones. We report a PCR methodology that allows the use of archival specimens obtained for traditional pathology.
Subject(s)
DNA, Protozoan/isolation & purification , Diarrhea/parasitology , Duodenum/parasitology , Enterocytozoon/isolation & purification , Microsporidiosis/diagnosis , Polymerase Chain Reaction , Biopsy , DNA, Protozoan/genetics , Diarrhea/pathology , Duodenum/drug effects , Duodenum/pathology , Electrophoresis, Agar Gel , Enterocytozoon/genetics , Formaldehyde/pharmacology , Humans , Microsporidiosis/parasitology , Microsporidiosis/pathology , Paraffin Embedding , Specimen Handling , Tissue Fixation , Tissue PreservationABSTRACT
Este estudio incluyó 95 muestras de biopsias duodenales fijadas en formalina e incluidas en parafina recuperadas de archivos hospitalarios que fueron observadas microscópicamente para observar microsporidios. Once muestras que revelaron organismos compatibles fueron analizadas por la reacción en cadena de la polimerasa(PCR) con cuatro protocolos diferentes para la detección de E. bieneusi. Se obtuvieron amplicones del tamaño correcto al menos por un método en 9 muestras, manteniéndose dos negativas. En este trabajo se reportó una metodología de PCR que permite el uso de material de archivo obtenido para patología tradicional (AU)
This study involved ninety five formalin-fixed paraffin-embedded duodenal biopsy specimens retrieved from hospital files that were microscopically observed for the presence of microsporidia. Eleven samples that revealed compatible organisms were analyzed by the polymerase chain reaction (PCR) with four different protocols for the detection of Enterocytozoon bieneusi. Amplicons of the right size were obtained by at least one method for nine samples, remaining two negative ones. We report a PCR methodology that allows the use of archival specimens obtained for traditional pathology (AU)
Subject(s)
Humans , DNA, Protozoan/isolation & purification , Diarrhea/parasitology , Duodenum/parasitology , Enterocytozoon/isolation & purification , Microsporidiosis/diagnosis , Polymerase Chain Reaction , Biopsy , DNA, Protozoan/genetics , Diarrhea/pathology , Duodenum , Electrophoresis, Agar Gel , Enterocytozoon/genetics , Formaldehyde/pharmacology , Paraffin Embedding , Tissue FixationABSTRACT
We cloned and characterized a Plasmodium vivax repeat element of 7872bp named PvRE7.8. Several internal tandem repeats were found along the sequence. The repetitive nature of the PvRE7.8 element was confirmed by hybridization of a P. vivax YAC library. Based on the data bank analysis and the presence of two contiguous putative genes that may encode proteins related to DNA metabolism, PvRE7.8 could be considered an inactivated transposon-LINE element. By using Pv79 as probe or primers derived from Pv79-flanking sequences, P. vivax DNA Could be detected from whole blood and mosquito samples. We consider that the repeat element described here has potential for P. vivax malaria diagnosis and for epidemiological analysis of P. vivax transmission areas.
