title: Isospora belli associated recurrent diarrhea in a child with AIDS.
abstract: Persistent diarrhea is a major manifestation of Acquired Immunodeficiency Syndrome (AIDS) which might be more complicated in Human Immunodeficiency Virus (HIV) infected children especially those from developing countries. There are numerous reports showing the emergence of intestinal opportunistic coccidian parasites, mostly Cryptosporidium parvum and Isospora belli in HIV-infected individuals. The prevalence of isosporiasis is probably underestimated in developing countries because routinely not all HIV-infected patients are examined for the presence of this protozoan infection. Here we report a case of HIV-infected isosporiasis presenting with failure to thrive and persistent diarrhea. Since I. belli infection in children responds well to therapy with trimethoprim-sulfamethoxazole, isosporiasis should be considered as a treatable infection in AIDS, if it is detected at proper time.
authors.affiliation: Department of Public Health, Faculty of Health, Qom University of Medical Sciences, Qom, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Nateghi Rostami
authors.affiliation: Department of Pathology, Children's Medical Center, Tehran University of Medical Sciences, No. 62, Dr. Gharib St., Keshavarz Blvd., Tehran, Iran.
authors.forename: B
authors.initials: B
authors.lastname: Nikmanesh
authors.affiliation: Department of Pathology, Children's Medical Center, Tehran University of Medical Sciences, No. 62, Dr. Gharib St., Keshavarz Blvd., Tehran, Iran.
authors.forename: M T
authors.initials: MT
authors.lastname: Haghi-Ashtiani
authors.affiliation: Department of Pathology, Children's Medical Center, Tehran University of Medical Sciences, No. 62, Dr. Gharib St., Keshavarz Blvd., Tehran, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Monajemzadeh
authors.affiliation: Division of Bacteriology, Department of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Douraghi
authors.affiliation: Department of Microbiology, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Z
authors.initials: Z
authors.lastname: Ghalavand
authors.affiliation: Department of Pathology, Children's Medical Center, Tehran University of Medical Sciences, No. 62, Dr. Gharib St., Keshavarz Blvd., Tehran, Iran.
authors.forename: L
authors.initials: L
authors.lastname: Kashi
keywords: AIDS; Diarrhea; Failure to thrive; Isospora belli