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Detection of Septata intestinalis in Stool Specimens and Coprodiagnostic Monitoring of Successful Treatment with Albendazole

Weber, Rainer ; Sauer, Bärbel ; Spycher, Max A. ; Deplazes, Peter ; Keller, Ruth ; Ammann, Rudolf ; Briner, Jakob ; Lüthy, Ruedi

In: Clinical Infectious Diseases, 1994, vol. 19, no. 2, p. 342-345

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    Titre
    • Detection of Septata intestinalis in Stool Specimens and Coprodiagnostic Monitoring of Successful Treatment with Albendazole
    Auteur
    • Weber, Rainer. Departments of Medicine (Divisions of Infectious Diseases and Gastroenterology) and Pathology, University Hospital, Zurich, Zurich, Switzerland
    • Sauer, Bärbel. Departments of Medicine (Divisions of Infectious Diseases and Gastroenterology) and Pathology, University Hospital, Zurich, Zurich, Switzerland
    • Spycher, Max A.. Departments of Medicine (Divisions of Infectious Diseases and Gastroenterology) and Pathology, University Hospital, Zurich, Zurich, Switzerland
    • Deplazes, Peter. Departments of Medicine (Divisions of Infectious Diseases and Gastroenterology) and Pathology, University Hospital, Zurich, Zurich, Switzerland
    • Keller, Ruth. Departments of Medicine (Divisions of Infectious Diseases and Gastroenterology) and Pathology, University Hospital, Zurich, Zurich, Switzerland
    • Ammann, Rudolf. Departments of Medicine (Divisions of Infectious Diseases and Gastroenterology) and Pathology, University Hospital, Zurich, Zurich, Switzerland
    • Briner, Jakob. Departments of Medicine (Divisions of Infectious Diseases and Gastroenterology) and Pathology, University Hospital, Zurich, Zurich, Switzerland
    • Lüthy, Ruedi. Departments of Medicine (Divisions of Infectious Diseases and Gastroenterology) and Pathology, University Hospital, Zurich, Zurich, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Clinical Infectious Diseases, 1994, vol. 19, no. 2, p. 342-345. The University of Chicago Press
    Autre version électronique
    Classification
    • Santé
    Identifiant OAI-PMH
    • oai:doc.rero.ch:291090
    Summary
    We describe two patients with AIDS and chronic diarrhea in whom the microsporidian Septata intestinalis was detected with use of light and electron microscopic coprodiagnostic techniques. The ultrastructure of the microsporidian spores found in their stool specimens was distinctly different from that of Enterocytozoon bieneusi, another intestinal microsporidian found in patients infected with human immunodeficiency virus. Electron microscopic examination of duodenal biopsy specimens available from one of the patients enabled identification of S. intestinalis and confirmed the similarity of spores found in feces and in duodenal tissue. Both patients' diarrhea stopped when they were treated with albendazole. Coprodiagnostic monitoring indicated disappearance of the parasites and allowed the diagnosis of a relapse in one patient, who responded well to a second course of treatment