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To assess the prevalence of intestinal parasites in a cohort of human immunodeficiency virus (HIV)infected adults in Cameroon, a cross-sectional study was conducted. Detection of parasites was performed in 181 stool samples from 154 HIV-infected patients with a mean CD4 cell count of 238 cells/mm3. Only 35 patients (22%) were receiving antiretroviral therapy at the time of stool sampling, and 46 (29%) had diarrhea. Opportunistic protozoa were found in 15 patients (9.7%), 8 of whom (53%) had diarrhea. Enterocytozoon bieneusi was found in eight patients, C. parvum in six patients, and Isospora belli in three patients. All E. bieneusi isolates tested belonged to the same genotype. The prevalence of opportunistic protozoa among patients with CD4 cell counts less than 50/mm3 was 32%.
Received February 22, 2005. Accepted for publication September 1, 2005.
Acknowledgments: We thank Alphonse Poupou for technical assistance in Cameroon, Samia Hamane for expert advice, and Corinne Delalande, Marie-Christine Serugue, and Caroline Verret for technical assistance in Paris.
Financial support: This study was supported by a grant from the French Ministry of Research and Agence Nationale de Recherches sur le SIDA (ANRS)Program VIHPAL.
* Address correspondence to Claudine Sarfati, Laboratory of Parasitology, Saint-Louis Hospital, 1 avenue Claude Vellefaux 75010, Paris, France. E-mail: claudine.sarfati{at}sls.ap-hop-paris.fr
Authors addresses: Claudine Sarfati, Jean Menotti, and Francis Derouin, Laboratory of Parasitology, Saint-Louis Hospital, 1 Avenue Claude Vellefaux 75010, Paris, France, E-mails: claudine.sarfati{at}sls.ap-hop-paris.fr, jean.menotti{at}slc.aphp.fr, and francis.derouin{at}sls.aphp.fr. Anke Bourgeois, Florian Liegeois, and Eric Delaporte, UR 36 IRD/Département Universitaire Maladies Infectieuses et Santé Internationale, 911 Avenue Agropolis, BP 64501, 34394 Mont-pellier Cedex 5 France, E-mails: anke.bourgeois{at}mpl.ird.fr, florian.liegeois{at}mpl.ird.fr, and eric.delaporte{at}mpl.ird.fr. Roger Moyou-Somo and Eitel Mpoudi Ngole, Hôpital Militaire, Yaounde, Cameroon. Jean-Michel Molina, Department of Infectious Diseases, Saint-Louis Hospital, 1 Avenue Claude Vellefaux 75010, Paris, France, E-mail: jean-michel.molina{at}sls.aphp.fr.
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