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Revista do Instituto de Medicina Tropical de São Paulo

Print version ISSN 0036-4665

Rev. Inst. Med. trop. S. Paulo vol.29 no.5 São Paulo Sept./Oct. 1987

http://dx.doi.org/10.1590/S0036-46651987000500010 

CASE REPORT

 

Intestinal cryptosporidiosis. Association with Pneumocystis carinii, cytomegalovirus and Candida sp. Infections

 

 

K. I. R. Coelho; S. A. Maeda; M. E. A. Marques

Address for correspondence

 

 


SUMMARY

This is a case report of intestinal cryptosporidiosis diagnosed in histological specimen collected from autopsy. The patient was a child of 5 months admitted to the hospital with severe acute diarrhea associated with Pneumocystis carinii pneumonia, cytomegalic sialadenitis, oral and dermal candidiasis. The presence of multiple opportunistic infections in this case indicated immunodeficiency state.
Cryptosporidium sp is a possible etiology of acute diarrhea in both immunodeficient and immunocompetent patients and has to be searched for at autopsy when diagnosis was not possible "in vivo".

Key words: Immunodeficiency; Diarrhea; Cryptosporidiosis.


RESUMO

Criptosporidiose intestinal associada a infecções por Pneumocystis carinii, cytomegalovirus e Candida sp.
Trata-se de apresentação de um caso de criptosporidiose intestinal diagnosticada histologicamente em material de autópsia.
A paciente era uma criança de 5 meses, internada com diarréia aguda grave, associada a pneumonia por Pneumocystis carinii, sialadenite citomegálica e candidíase oral e cutânea. A presença de infecções oportunísticas múltiplas indicaram o diagnóstico de imunodeficiência.
Cryptosporidium sp é uma possibilidade etiológica para diarréias agudas em pacientes imunodeprimidos ou imunocompetentes e deve ser procurado em material de autópsia quando não diagnosticado "in vivo".


 

 

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REFERENCES

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9. ROGERS, M. F. - AIDS in children: a review of the clinical, epidemiologic and public health aspects. Pediat. Infect. Dis., 4: 230-236, 1985.         [ Links ]

10. WEIDERMANN, B. L.; KAPLAN, S. L. & MARINO, B. - Prevalence and significance of cryptosporidiosis in children. Pediat. infect. Dis., 4: 292-293, 1985.         [ Links ]

11. WEIKEL, C. S.; JOHNSTON, L. I.; DE SOUZA, M. & GUERRANT, R. L. - Cryptosporidiosis in northeastern Brazil. Association with sporadic diarrhea. J. infect. Dis., 151: 963-965, 1985.         [ Links ]

 

 

Address for correspondence:
Dra. Kunie Iabuki R. Coelho
Departamento de Patologia da Faculdade de Medicina de Botucatu
CEP 18600 Botucatu, SP., Brasil

Recebido para publicação em 02/12/86.