| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
A study of the etiologies of diarrhea in adults in relation to their human immunodeficiency virus (HIV) serostatus and number of CD4+ cells was carried out in the Central African Republic. In cases and controls, multi-parasitism was observed. Salmonella spp. were identified mainly during acute diarrhea, with 50% of the S. enteritidis isolated during the study being responsible for septicemia and/or urinary tract infection in immunodeficient patients. Enteroaggregative Escherichia coli (EAggEC) were the most frequently identified agent in HIV+ patients with persistent diarrhea; 42.8% of the patients with EAggEC as sole pathogens had bloody diarrhea, and these strains were negative for the presence of a virulence plasmid. Coccidia were found in those with acute and persistent diarrhea. Blood was observed in 53.3% of infections involving coccidia as the sole pathogen. Microsporidium spp. and Blastocystis hominis were found only in HIV+ patients with persistent diarrhea. Shigella spp., Campylobacter spp., and Entamoeba histolytica were found in HIV+ and HIV- dysenteric patients; bacteria resembling spirochetes that could not be cultivated were identified only in HIV+ cases with dysentery. Shiga-like toxin-producing E. coli O157:H- was isolated from two cases with hemolytic-uremic syndrome. Fungi were identified as the sole pathogen in 6.4% of the HIV+ patients with persistent diarrhea. Most of enteropathogenic bacteria identified were resistant to ampicillin and trimethoprim-sulfamethoxazole, remained susceptible to ampicillin plus clavulanic acid, and were susceptible to amikacin, gentamicin, and ciprofloxacin.
This article has been cited by other articles:
|
|
 |
|
  A. Samie, C. L. Obi, R. Dillingham, R. C. Pinkerton, and R. L. Guerrant Enteroaggregative Escherichia coli in Venda, South Africa: Distribution of Virulence-Related Genes by Multiplex Polymerase Chain Reaction in Stool Samples of Human Immunodeficiency Virus (HIV)-Positive and HIV-Negative Individuals and Primary School Children Am J Trop Med Hyg, July 1, 2007; 77(1): 142 - 150. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. MORAN, F. RAMOS, M. RAMIRO, O. CURIEL, E. GONZALEZ, A. VALADEZ, A. GOMEZ, G. GARCIA, E. I. MELENDRO, and C. XIMENEZ INFECTION BY HUMAN IMMUNODEFICIENCY VIRUS-1 IS NOT A RISK FACTOR FOR AMEBIASIS Am J Trop Med Hyg, August 1, 2005; 73(2): 296 - 300. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. R. ABU-ELYAZEED, T. F. WIERZBA, R. W. FRENCK, S. D. PUTNAM, M. R. RAO, S. J. SAVARINO, K. A. KAMAL, L. F. PERUSKI JR., I. A. ABD-EL MESSIH, S. A. EL-ALKAMY, et al. EPIDEMIOLOGY OF SHIGELLA-ASSOCIATED DIARRHEA IN RURAL EGYPTIAN CHILDREN Am J Trop Med Hyg, September 1, 2004; 71(3): 367 - 372. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. N. Okeke, O. Ojo, A. Lamikanra, and J. B. Kaper Etiology of Acute Diarrhea in Adults in Southwestern Nigeria J. Clin. Microbiol., October 1, 2003; 41(10): 4525 - 4530. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Bernier, P. Gounon, and C. Le Bouguenec Identification of an Aggregative Adhesion Fimbria (AAF) Type III-Encoding Operon in Enteroaggregative Escherichia coli as a Sensitive Probe for Detecting the AAF-Encoding Operon Family Infect. Immun., August 1, 2002; 70(8): 4302 - 4311. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Mossoro, P. Glaziou, S. Yassibanda, N. T. P. Lan, C. Bekondi, P. Minssart, C. Bernier, C. Le Bouguenec, and Y. Germani Chronic Diarrhea, Hemorrhagic Colitis, and Hemolytic-Uremic Syndrome Associated with HEp-2 Adherent Escherichia coli in Adults Infected with Human Immunodeficiency Virus in Bangui, Central African Republic J. Clin. Microbiol., August 1, 2002; 40(8): 3086 - 3088. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
