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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2023, Number 3

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Rev Biomed 2023; 34 (3)

Prevalence of Cryptosporidium spp, Cystoisospora belli and Cyclospora cayetanesis in patient infected with HIV in the Municipality of Veracruz, Mexico

Zaldívar-López A, Hernández-Romano PA, Infanzón-Ruiz R, Bravo-Sarmiento E, Torres-Hernández RM, López-Balderas NA

Language: Spanish
References: 25
Page: 287-295
PDF size: 125.65 Kb.


ABSTRACT

Introduction. The human immunodeficiency virus (HIV) infects and gradually destroy CD4+ cells of the immune system and eventually leading to immunodeficiency. Gastrointestinal opportunistic parasitosis are a frequent cause of morbidity and mortality in HIV+ patients.
Objective. To determine the prevalence of the opportunistic parasites Cryptosporidium spp., Cystoisospora belli and Cyclospora cayetanensis, in patients infected with HIV in the municipality of Veracruz. Mexico.
Material and methods. 230 non-serial stool samples from patients with HIV were collected. The smears were analysed by direct method and modified Ziehl-Neelsen staining.
Results. A prevalence of parasitism of 92.17% was found, 85.22% of Cryptosporidium spp., and C. cayetanensis were identified as mono-parasitism or in association with each other and with other nonopportunistic parasites. Cryptosporidium spp. was the most prevalent parasite (72.60%), followed by C. cayetanensis (57.78%), Endolimax nana (36.52%), Blastocystis spp. (17.83%) and Entamoeba Complex (7 .83%). No samples with Cystoisospora belli were identified.
Conclusions. Compared to the only report of opportunistic parasites in the HIV+ population of the Veracruz municipality, there was an increase in the prevalence of Cryptosporidium spp. and a abscense of C. belli. Even with a greater access to antiretroviral treatment, in Mexico, parasitosis continue to have high prevalences. Therefore, routine monitoring of opportunistic parasitism is necessary, using appropriate techniques to avoid underdiagnosis and the risk of comorbidity and mortality that they represent in the HIV+ population.


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