Duodenal and hepatic toxoplasmosis in a patient with HIV infection: review of the literature.
We report a case of watery diarrhea due to duodenal toxoplasmosis in a patient with the acquired immunodeficiency syndrome. Treatment with pyrimethamine, clindamycin, and folinic acid decreased the diarrhea as well as the duodenal toxoplasma cyst load. Hepatic toxoplasmosis was also present, associated with an elevated serum alkaline phosphatase activity and a minimally elevated lactate dehydrogenase level.
Bonacini
M
M
U. S. C. Liver Unit, Rancho Los Amigos Medical Center, Downey, California.
Kanel
G
G
Alamy
M
M
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000469:parasitology; D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003967:Diarrhea / Q000469:parasitology; D004378:Duodenal Diseases / Q000188:drug therapy / Q000469:parasitology*; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000188:drug therapy / Q000453:epidemiology*; D002955:Leucovorin / Q000627:therapeutic use; D008109:Liver Diseases, Parasitic / Q000188:drug therapy / Q000453:epidemiology*; D008297:Male; D015995:Prevalence; D011739:Pyrimethamine / Q000627:therapeutic use; D014123:Toxoplasmosis / Q000188:drug therapy / Q000453:epidemiology*
D000890:Anti-Infective Agents; D002981:Clindamycin; D002955:Leucovorin; D011739:Pyrimethamine