Isospora belli Infection Associated with Acalculous Cholecystitis in a Patient with AIDS

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Brief Communications1 November 1994Isospora belli Infection Associated with Acalculous Cholecystitis in a Patient with AIDSDebra A. Benator, MD, Audrey L. French, MD, Lisa M. Beaudet, MD, Charles S. Levy, MD, and Jan M. Orenstein, MD, PhDDebra A. Benator, MDFrom Washington Hospital Center and George Washington University Hospital, Washington, D.C., Audrey L. French, MDFrom Washington Hospital Center and George Washington University Hospital, Washington, D.C., Lisa M. Beaudet, MDFrom Washington Hospital Center and George Washington University Hospital, Washington, D.C., Charles S. Levy, MDFrom Washington Hospital Center and George Washington University Hospital, Washington, D.C., and Jan M. Orenstein, MD, PhDFrom Washington Hospital Center and George Washington University Hospital, Washington, D.C.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-9-199411010-00006 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Biliary disease is not uncommon in patients with the acquired immunodeficiency syndrome (AIDS) and is a cause of significant morbidity [1, 2]. Possible manifestations include sclerosing cholangitis, papillary stenosis, extrahepatic bile duct strictures, and acute or chronic cholecystitis.The pathogens most commonly associated with biliary disease are cytomegalovirus and Cryptosporidium. Microsporidia, Mycobacterium avium complex, Candida albicans, Pneumocystis carinii, and usual enteric bacteria have been identified less frequently [1-3]. Malignancies, including lymphoma and Kaposi sarcoma, have also been associated with biliary tract disease. However, in as many as 55% of cases, a potential cause cannot be identified [1]. We report the ...References1. Cello JP. Human immunodeficiency virus-associated biliary tract disease. Semin Liver Dis. 1992; 12:213-7. Google Scholar2. French AL, Levy CS. Cholecystectomy in HIV-infected patients: Clinico-pathologic correlation of 128 cases (Abstract). 33rd Interscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, Louisiana. 1993; 1:222. Google Scholar3. Pol S, Romana CA, Richard S, Amouyal P, Desportes-Livage I, Carnot F, et al. Microsporidia infection in patients with the human immunodeficiency virus and unexplained cholangitis. N Engl J Med. 1993; 328:95-9. Google Scholar4. St Georgiev V. Opportunistic infections: treatment and developmental therapeutics of cryptosporidiosis and isosporiasis. Drug Development and Research. 1993; 28:445-59. Google Scholar5. Trier JS, Moxey PC, Schimmel EM, Robles E. Chronic intestinal coccidiosis in man: intestinal morphology and response to treatment. Gastroenterology. 1974; 66:923-5. Google Scholar6. Wenyon CM. Observations on the common intestinal protozoa of man: their diagnosis and pathogenicity. Lancet. 1915; 23:1173-83. Google Scholar7. Liebman WM, Thaler MM, DeLorimier A, Brandborg LL, Goodman J. Intractable diarrhea of infancy due to intestinal coccidiosis. Gastroenterology. 1980; 78:579-84. Google Scholar8. Shaffer N, Moore L. Chronic travelers' diarrhea in a normal host due to Isospora belli (Letter). J Infect Dis. 1989; 159:596-7. Google Scholar9. Ma P, Kaufman D, Montana J. Isospora belli diarrheal infection in homosexual men. AIDS Res. 1984; 1:327-38. Google Scholar10. Soave R, Johnson WD Jr. Cryptosporidium and Isospora belli infections. J Infect Dis. 1988; 157:225-9. Google Scholar11. DeHovitz JA, Pape JW, Boncy M, Johnson WD Jr. Clinical manifestations and therapy of Isospora belli infection in patients with the acquired immunodeficiency syndrome. N Engl J Med. 1986; 315:87-90. Google Scholar12. Restrepo C, Macher AM, Radany EH. Disseminated extraintestinal isosporiasis in a patient with acquired immune deficiency syndrome. Am J Clin Pathol. 1987; 87:536-42. Google Scholar Author, Article, and Disclosure InformationAffiliations: From Washington Hospital Center and George Washington University Hospital, Washington, D.C.Corresponding Author: Charles S. Levy, MD, Section of Infectious Diseases, Washington Hospital Center, 110 Irving Street Northwest, 2A-56, Washington, DC 20010. 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I: Protozoans and DiarrheaBiology of Isospora spp. from humans, nonhuman primates, and domestic animalsWaterborne protozoan pathogensAGA technical review: Malnutrition and cachexia, chronic diarrhea, and hepatobiliary disease in patients with human immunodeficiency virus infectionBiliary Cryptosporidiosis in HIV-Infected People after the Waterborne Outbreak of Cryptosporidiosis in Milwaukee 1 November 1994Volume 121, Issue 9Page: 663-664KeywordsAIDSBiopsyDiarrheaGallbladderIsosporaIsosporiasisMucous membranesOocystsPathogensWeight loss ePublished: 15 August 2000 Issue Published: 1 November 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...