Intestinal Microsporidiosis in Iran (Kerman): Comparison in immune-compromised patients and immune competent people with diarrhea

  • سال انتشار: 1396
  • محل انتشار: سرطان معده، دوره: 3، شماره: 1
  • کد COI اختصاصی: JR_CUMM-3-1_006
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 59
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نویسندگان

Maryam Nooshadokht

Department of Medical Parasitology and Mycology, Kerman University of Medical Sciences, Kerman, Iran

Iraj Sharifi

Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran

Mohammad Ali Mohammadi

Research center for Hydatid disease in Iran, Kerman, Iran

Majid Pirestani

Deptartment of Parasitology and Entomology, Faculty of Medical Sciences, Tarbiat Modarres University, Tehran, I. R. Iran

Afgar Afgar

Research Center for Hydatid Disease in Iran, Kerman University of Medical Sciences, Kerman, Iran

Armina Mahootchi

Department of Medical Parasitology and Mycology, Kerman University of Medical Sciences, Kerman, Iran

Samira Salari

Department of Medical Parasitology and Mycology, Kerman University of Medical Sciences, Kerman, Iran

Zahra Babaei

Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran

چکیده

Background and Purpose: Gastroenteritis and the clinical profile caused by Microsporidia, an opportunistic pathogen, may be severe in immunocompromised individuals, especially in AIDS patients. Conventionally, it is necessary to detect the small infective spores in stained smears. However, due to the limitations of the microscopy-based methods, several DNA-based methods such as polymerase chain reaction (PCR) have recently been developed to enhance diagnosis sensitivity. Therefore,we sought to evaluate the rate of infection in immunocompromised patients as compared with immunocompetent patients in Kerman, Iran. Materials and Methods: We collected stool samples of ۱۹۹ human subjects (۱۱۶ males and ۸۳ females), aged ۱ to ۶۹ years old. They were divided into immunocompromised (i.e., AIDS [n=۷۲] and cancer-positive patients [n=۵۹]) and immunocompetent (n=۶۸) groups. We comparatively examined the fecal materials using the microscopy and PCR methods. Results: The overall prevalence rate of Microsporidia infection was ۱۰.۰۵% (۲۰/۱۹۹). Entrocytozoon bieneusi was the only species within the Microsporidia genus that was identified in ۱۴.۵% (۱۹/۱۳۱) of the immunocompromised patients and ۱.۴۷% (۱/۶۸) of the immunocompetent individuals. Conclusion: Considering the higher prevalence rate of microsporidiosis in patients with immunodeficiency (۱۰.۰۳%), we suggest performing sensitive and specific techniques such as PCR for the detection of these parasites in immunocompromised patients.

کلیدواژه ها

Immunocompetent individuals, Immunocompromised patients, Iran, Microsporidia

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