ABSTRACT
Travel-related diarrhea is common among tourists to developing countries. We report two cases of diarrhea due to Cryptosporidium hominis and Isospora belli, respectively, in a child and an adult returning from Africa, without other associated microorganisms. We emphasize the need to detect underdiagnosed coccidiosis in diarrheic travelers with specific methods.
Subject(s)
Cryptosporidiosis/diagnosis , Cryptosporidium/isolation & purification , Diarrhea/parasitology , Isospora/isolation & purification , Isosporiasis/diagnosis , Travel , Cryptosporidiosis/therapy , Humans , Infant , Isosporiasis/therapy , Male , Middle AgedABSTRACT
The authors describe a case of severe debilitating diarrhea due to isosporiasis in a two year old child, a known case of systemic vasculitis receiving prolonged corticosteroids therapy, an association rarely reported previously. It was refractory to treatment with dihydrofolate reductase inhibitor combined with sulfonamide such as cotrimoxazole to which isosporiasis usually responds well and is being described here for clinical interest and uniqueness of its presentation and laboratory findings.
