[Chronic diarrhea and parasitoses in adults suspected of AIDS in the Ivory Coast].

P M Therizol-Ferly, J Tagliante-Saracino, M Kone, A Konan, J Ouhon, A Assoumou, K Aka, G Assale
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Abstract

148 adult patients with chronic diarrhoea and suspected to be HIV infected have had stool examinations. 46 are without any enteric parasite. Those detected in the others patients are Sporozoans: I. belli (16.2%) and Cryptosporidium sp. (6.7%) found alone or joint, together or with other parasites. Among those, all Flagellate species are identified, but T. intestinalis (6%) is predominant. Entamoeba coli (8.%) is the most frequent amebic species, however, E. histolytica histolytica have been found twice, once singly, the second associated with I. belli, Schistosoma mansoni and Candida albicans. Necator americanus (14%) and Strongyloides stercoralis (12%) are the predominant worm species. Among the yeasts, C. albicans (35.8%) is the most important species isolated, singly in 13.5% of the patients. In an intertropical and parasitical endemic area where many parasites are not considered uncommon, opportunist agents as I. belli, Cryptosporidium sp. and C. albicans appear in an non-negligible frequency in our study.

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[科特迪瓦疑似艾滋病的成人慢性腹泻和寄生虫病]。
148名患有慢性腹泻并怀疑感染艾滋病毒的成年患者进行了粪便检查。46例没有肠道寄生虫。其他患者检出的孢子虫有:单独或联合、共同或与其他寄生虫检出的belli(16.2%)和隐孢子虫(6.7%)。其中鞭毛虫种类齐全,但以肠虫(6%)居多。大肠内阿米巴(8.8%)是最常见的阿米巴菌种,而溶组织芽胞杆菌曾被发现2次,1次单独发现,2次与belli、mansoni血吸虫和白色念珠菌合并发现。优势虫种为美洲Necator(14%)和粪圆线虫(12%)。在酵母菌中,白色念珠菌(35.8%)是最重要的菌种,在13.5%的患者中单独分离。在许多寄生虫并不罕见的热带和寄生虫流行地区,机会主义病原体如belli,隐孢子虫sp.和白色念珠菌在我们的研究中出现的频率不可忽视。
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