Nitazoxanide refractory cryptosporidiosis complicating Burkitt lymphoma in a child.

Q3 Medicine Tropical Parasitology Pub Date : 2024-01-01 Epub Date: 2024-02-15 DOI:10.4103/tp.tp_25_23
Salman Khan, Arghya Das, Babita Kataria, Himanshu Yadav, Bijay Ranjan Mirdha
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Abstract

Cryptosporidium species cause watery diarrhea in several vertebrate hosts, including humans. Most apparently, immunocompetent-infected individuals remain asymptomatic, whereas immunocompromised may develop severe or chronic cryptosporidiosis. We report here the case of a 6-year-old girl undergoing chemotherapy for Burkitt lymphoma who experienced multiple episodes of watery diarrhea during her hospital stay. Microscopic examination of her stool sample revealed oocysts of Cryptosporidium species. The rapid immunochromatographic test was also positive for Cryptosporidium species. She was treated with nitazoxanide for 3 weeks, which failed to provide both clinical improvement and parasitological clearance. This case highlights the importance of treatment failure in human cryptosporidiosis.

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尼他唑胺难治性隐孢子虫病并发儿童布基特淋巴瘤。
隐孢子虫会导致包括人类在内的几种脊椎动物宿主发生水样腹泻。大多数情况下,免疫功能正常的感染者不会出现症状,而免疫功能低下者则可能患上严重或慢性隐孢子虫病。我们在此报告了一例因布基特淋巴瘤接受化疗的 6 岁女孩的病例,她在住院期间多次出现水样腹泻。她的粪便样本经显微镜检查发现了隐孢子虫卵囊。快速免疫层析检测也显示隐孢子虫阳性。她接受了为期 3 周的硝唑安定治疗,但临床症状没有得到改善,寄生虫也没有被清除。本病例强调了人类隐孢子虫病治疗失败的重要性。
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来源期刊
Tropical Parasitology
Tropical Parasitology Medicine-Infectious Diseases
CiteScore
2.40
自引率
0.00%
发文量
12
期刊介绍: Tropical Parasitology, a publication of Indian Academy of Tropical Parasitology, is a peer-reviewed online journal with Semiannual print on demand compilation of issues published. The journal’s full text is available online at www.tropicalparasitology.org. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of parasitology. Articles with clinical interest and implications will be given preference.
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