Refractory isosporiasis.
The authors describe a case of severe debilitating diarrhea due to isosporiasis in a two year old child, a known case of systemic vasculitis receiving prolonged corticosteroids therapy, an association rarely reported previously. It was refractory to treatment with dihydrofolate reductase inhibitor combined with sulfonamide such as cotrimoxazole to which isosporiasis usually responds well and is being described here for clinical interest and uniqueness of its presentation and laboratory findings.
Malik
Sonia
S
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Samantaray
J C
JC
Bagga
Arvind
A
Das
Anupam
A
D000818:Animals; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002675:Child, Preschool; D003967:Diarrhea / Q000209:etiology; D017809:Fatal Outcome; D005243:Feces / Q000469:parasitology; D006801:Humans; D007549:Isospora / Q000302:isolation & purification; D021865:Isosporiasis / Q000150:complications / Q000175:diagnosis* / Q000469:parasitology / Q000628:therapy*; D008297:Male; D012008:Recurrence; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination