A MIXED INFECTION OF INTESTINAL MICROSPORIDIOSIS AND SALMONELLOSIS IN A 2-YEAR-OLD BOY WITH INHERITED IMMUNODEFICIENCY SYNDROME

Azlin Muhammad, Mekadina Bernadus, Rozliana Hanim Mat Hasan, W. Wahid
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Abstract

Gastrointestinal microsporidiosis is a major cause of chronic diarrhea in people with acquired immune deficienc syndrome. However, it can also affect individuals with inherited or congenital immunodeficiency. We reported a case of intestinal microsporidiosis and salmonellosis in a young boy with Hyper IgM syndrome. He presented with severe diarrhea and fever for 5 days. Stool examination showed heavy infection of Microsporidia spp. PCR confirmed the species as Enterocytozoon bieneusi. He was treated with albendazole for 25 days which abated the symptoms. To our knowledge, this is the first reported case of intestinal microsporidiosis in inherited immunodeficiency, X-linked Hyper IgM (XHIGM).
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肠道微孢子虫病和沙门氏菌病的混合感染在2岁男孩遗传性免疫缺陷综合征
胃肠道微孢子虫病是获得性免疫缺陷综合征患者慢性腹泻的主要原因。然而,它也会影响患有遗传性或先天性免疫缺陷的个体。我们报告了一例肠道微孢子虫病和沙门氏菌病在一个年轻的男孩与高IgM综合征。他出现严重腹泻和发烧5天。粪便检查显示微孢子虫感染严重,PCR证实为双胞虫。阿苯达唑治疗25天,症状减轻。据我们所知,这是第一例报道的肠道微孢子虫病在遗传性免疫缺陷,x连锁超IgM (XHIGM)。
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