Study of Opportunistic Intestinal Parasitic Infections in HIV Seropositive Patients at a Tertiary Care Teaching Hospital in Karnataka, India
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 8
Abstract
Introduction: Opportunistic intestinal parasitic infections are the major source of diarrheal disease in developing countries, mainly in Human Immunodeficiency Virus (HIV) infected patients. The aim of this study was to determine the intestinal parasites in HIV seropositive patients with and without diarrhea Material and Methods: The study was conducted during January 2015 - December 2015. A total of 200 stool samples from 100 HIV seropositive patients were examined microscopically for the presence of ova and cysts using wet mount preparations and stained smears. Out of 100 patients, 63 had prolonged diarrhea for more than 4 weeks, 10 had acute diarrhea of lesser than 7 days and 27 were asymptomatic cases, who attended out-patient department. Patients with and without diarrhea participated in the study after giving consent. Enteric pathogens were detected in 49 (49 %) of the 100 patients. Results: The parasites identified were Cryptosporidium (21), Isospora belli (7), Cyclospora (4), Microsporidia (2), Entamoeba histolytica (9), Hookworm (6). Intestinal parasites in chronic diarrhea were significantly higher than acute diarrhea (42% vs. 6%; P < 0.05). Parasitic pathogens are frequently associated with HIV seropositive patients with diarrhea in Southern India. Conclusions: Intestinal opportunistic parasitic infections were detected in 49 % among HIV-seropositive patients. Early detection of opportunistic intestinal parasitic infections will help in the management and will improve the quality of life of HIV infected individuals.
Authors and Affiliations
Rajeshwari Prabhakar Rao
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