title: Cyclospora cayetanensis associated with diarrhea in a patient with idiopathic compensated hepatic cirrhosis.
abstract: A 52 year-old male patient with idiopathic hepatic cirrhosis complaining of diarrhea and weakness was accepted to the gastroenterology clinic. In order to find out the causative etiologic agent of diarrhea, stool samples were examined by different methods and stained using modified Kinyoun's acid-fast stain. Following examination, approximately 9 microns diameter, acid-fast variable wrinkled spheres were seen and diagnosed as Cyclospora cayetanensis. Confirmation of the diagnosis was established by fluorescent microscope (380 to 420 nm excitation filter), which showed bright green to intense blue autofluorescent oocysts. It has been shown that, Cyclospora cayetanensis is a coccidian parasite mainly found in immunocompromised patients and that it may be the agent of prolonged diarrhea. Only three cyclosporiosis cases have been previously reported in our country; all three cases were AIDS patients. We report here a further case of Cyclospora cayetanensis infection in a patient with hepatic cirrhosis and we consider that this is the first case, which was reported in hepatic cirrhosis.
authors.affiliation: Erciyes University Medical Faculty, Department of Parasitology, Kayseri-Turkey. syazar@erciyes.edu.tr
authors.forename: Süleyman
authors.initials: S
authors.lastname: Yazar
authors.forename: Ozan
authors.initials: O
authors.lastname: Yaman
authors.forename: Funda
authors.initials: F
authors.lastname: Demirtaş
authors.forename: Saban
authors.initials: S
authors.lastname: Yalçin
authors.forename: Mehmet
authors.initials: M
authors.lastname: Yücesoy
authors.forename: Izzet
authors.initials: I
authors.lastname: Sahin
mesh_terms: D021744:Cyclospora; D021866:Cyclosporiasis / Q000150:complications*; D003967:Diarrhea / Q000469:parasitology*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged