Presence of Enterocytozoon bieneusi Associated with Intestinal Coccidia in Patients with Chronic Diarrhea Visiting an HIV Center in Haiti

Christian P. Raccurt Service de Parasitologie et Mycologie Médicales, Centre Hospitalier Universitaire d’Amiens, Université de Picardie Jules Verne, Amiens, France; Groupe Haïtien d’Étude du Syndrome de Kaposi et des Infections Opportunistes (GHESKIO), Port-au-Prince, Haïti; Laboratoire de Parasitologie, Hôpital Saint-Louis, Université de Paris 6, Paris, France; Weill Medical College, Cornell University, New York

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Bernadette Fouché Service de Parasitologie et Mycologie Médicales, Centre Hospitalier Universitaire d’Amiens, Université de Picardie Jules Verne, Amiens, France; Groupe Haïtien d’Étude du Syndrome de Kaposi et des Infections Opportunistes (GHESKIO), Port-au-Prince, Haïti; Laboratoire de Parasitologie, Hôpital Saint-Louis, Université de Paris 6, Paris, France; Weill Medical College, Cornell University, New York

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Patrice Agnamey Service de Parasitologie et Mycologie Médicales, Centre Hospitalier Universitaire d’Amiens, Université de Picardie Jules Verne, Amiens, France; Groupe Haïtien d’Étude du Syndrome de Kaposi et des Infections Opportunistes (GHESKIO), Port-au-Prince, Haïti; Laboratoire de Parasitologie, Hôpital Saint-Louis, Université de Paris 6, Paris, France; Weill Medical College, Cornell University, New York

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Jean Menotti Service de Parasitologie et Mycologie Médicales, Centre Hospitalier Universitaire d’Amiens, Université de Picardie Jules Verne, Amiens, France; Groupe Haïtien d’Étude du Syndrome de Kaposi et des Infections Opportunistes (GHESKIO), Port-au-Prince, Haïti; Laboratoire de Parasitologie, Hôpital Saint-Louis, Université de Paris 6, Paris, France; Weill Medical College, Cornell University, New York

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Taïeb Chouaki Service de Parasitologie et Mycologie Médicales, Centre Hospitalier Universitaire d’Amiens, Université de Picardie Jules Verne, Amiens, France; Groupe Haïtien d’Étude du Syndrome de Kaposi et des Infections Opportunistes (GHESKIO), Port-au-Prince, Haïti; Laboratoire de Parasitologie, Hôpital Saint-Louis, Université de Paris 6, Paris, France; Weill Medical College, Cornell University, New York

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Anne Totet Service de Parasitologie et Mycologie Médicales, Centre Hospitalier Universitaire d’Amiens, Université de Picardie Jules Verne, Amiens, France; Groupe Haïtien d’Étude du Syndrome de Kaposi et des Infections Opportunistes (GHESKIO), Port-au-Prince, Haïti; Laboratoire de Parasitologie, Hôpital Saint-Louis, Université de Paris 6, Paris, France; Weill Medical College, Cornell University, New York

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Jean W. Pape Service de Parasitologie et Mycologie Médicales, Centre Hospitalier Universitaire d’Amiens, Université de Picardie Jules Verne, Amiens, France; Groupe Haïtien d’Étude du Syndrome de Kaposi et des Infections Opportunistes (GHESKIO), Port-au-Prince, Haïti; Laboratoire de Parasitologie, Hôpital Saint-Louis, Université de Paris 6, Paris, France; Weill Medical College, Cornell University, New York

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This study investigated the presence of Enterocytozoon bieneusi as a possible cause of chronic diarrhea in Haitian patients attending the GHESKIO AIDS clinic in Port-au-Prince, Haiti. Coccidian oocysts were found by polymerase chain reaction (PCR) in the stools of 58/74 patients with chronic diarrhea and included the following agents: 45 (60%) Cryptosporidium spp., 27 (34%) Cyclospora cayetanensis, and 11 (15%) Isospora belli. Four patients (5.5%) were co-infected with E. bieneusi and one (1.4%) had E. bieneusi alone. The PCR-restriction fragment length polymorphism (RFLP) method made it possible to document the presence in human feces of E. bieneusi in Haiti. As in sub-Saharan Africa, the association of E. bieneusi with coccidian parasites found in Haitian patients with diarrhea is probably caused by the high level of fecal contamination of soils and surface waters usually associated with countries with low hygienic standards.

Author Notes

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