Rashid Gholami; Shirzad Gholami; Hamid Emadi-Kouchak; Alireza Abdollahi; Mona Shahriari
Volume 11, Issue 1 , January 2016, , Pages 27-34
Abstract
Background: Cryptosporidiumis known as an opportunist disease-causing agent in man in recent decades. It causes diarrhea and intestinal disorders in the immune deficit and immune competent individuals. This study was aimed to investigate the clinical characteristics of HIV/AIDS patients withcryptosporidiosisinfection. ...
Read More
Background: Cryptosporidiumis known as an opportunist disease-causing agent in man in recent decades. It causes diarrhea and intestinal disorders in the immune deficit and immune competent individuals. This study was aimed to investigate the clinical characteristics of HIV/AIDS patients withcryptosporidiosisinfection. Methods: This cross-sectional descriptive study was performed on 53 HIV/AIDS patients referred to the Behavior Disease Consultation Center of Imam Khomeini Hospital in Tehran, Iran in 2013. First, the patients were studied clinically and the context data were recorded in a questionnaire for parasitological examination and referred to the laboratory for eosinophil count, and CD4 count per ml of blood. Results: Cryptosporidiosiswas observed in 4 (7.6%) of the total 53 HIV/AIDS patients. The highest prevalence of infection was observed in the age range of 30-39 yr.Itwas observed in different sexes as 5.7% of male and 1.9% of female, but statistically was insignificant (P=0.163).75% of patients had no intestinal symptom, 11.4% with acute diarrhea and 3.8% with chronic diarrhea. Cryptosporidiosis cases were observed in 5.7% of patients without intestinal symptom. Conclusion: Practitioners in the clinicalexamination for the detectionof the opportunistic intestinal protozoan infection should use clinical and paraclinical characteristics of the HIV/AIDS patients for the diagnostic of Cryptosporidium and other opportunistic parasitic diseases.
Reza Shafiei; Zahra Riazi; Mohamdreza Sarvghad; Mysam Galian Sharifdini; Abbas Mahmoodzadeh; Massoud Hajia
Volume 6, Issue 2 , April 2011, , Pages 68-72
Abstract
Background and Objectives: Toxoplasmosis has become one of the more frequent opportunistic infections and the most common cause of focal brain lesions complicating the course of AIDS. However, there is a little information about the frequency of the toxoplasmosis in various regions of Iran. At ...
Read More
Background and Objectives: Toxoplasmosis has become one of the more frequent opportunistic infections and the most common cause of focal brain lesions complicating the course of AIDS. However, there is a little information about the frequency of the toxoplasmosis in various regions of Iran. At the present study, we evaluated the prevalence of toxoplasmosis in patients with AIDS in Mashhasd (Northeast Iran). Material and Methods: Overall, 258 suspected patients with CD4+ T-cell count and clinical manifestation for HIV infection were referred from Infectious Disease Center to Imam Reza Hospital in 2009. These patients were examined by ELISA, western blot method and tested by P24 antigen. HIV positive patients (n=121) were entered in this cross-sectional study and investigated for IgG and IgM anti- Toxoplasma antibodies with ELISA. Results: The mean age of the patients was 35.83 + 6.75 yr. 83.5% of the patients were intravenous drug misuse. The IgG anti-Toxoplasma antibodies were positive in 46 (38.01%) patients, while IgM antibody was detected in 3 cases (2.5%). Conclusion: The rate of toxoplasmosis infection in HIV positive patients is high. Therefore, immediate treatment of these patients is essential in rising specific antibody cases that may cause toxoplasmic encephalitis resulting from its reactivation.
Farid Kosari; Hana Saffar; Hamed Zamani; Rasoul Sotoudehmanesh; Amir Pejman Hashemi Taheri; Masoud Sotoudeh
Volume 6, Issue 2 , April 2011, , Pages 97-100
Abstract
Primary non-Hodgkin lymphoma of liver is a very rare malignancy. Here we report a case of primary hepatic Burkitt’s lymphoma in a 34-year old man who was known case of acquired immunodeficiency syndrome (AIDS) and presented with weight loss, abdominal pain, and fever. Positive laboratory ...
Read More
Primary non-Hodgkin lymphoma of liver is a very rare malignancy. Here we report a case of primary hepatic Burkitt’s lymphoma in a 34-year old man who was known case of acquired immunodeficiency syndrome (AIDS) and presented with weight loss, abdominal pain, and fever. Positive laboratory findings were mild anemia and elevated levels of lactate dehydrogenase (LDH) and alkaline phosphatase (ALP).Abdominal computed tomography (CT) showed multiple large low- density mass lesions in both lobes of liver with no evidence of regional or distant lymphadenopathy or metastasis. Liver needle biopsy was done and both histological and immunohistochemical findings were compatible with Burkitt’s lymphoma.
