Cryptosporidiosis in HIV patients: A case report for timely diagnosis and prompt intervention

Authors : Amit Kumar, Amit Kumar, Pranshu Pandey, Pranshu Pandey, Anupam Das, Anupam Das, Nikhil Gupta, Nikhil Gupta, Mamta Thacker, Mamta Thacker, Vikramjeet Singh, Vikramjeet Singh, Manodeep Sen, Manodeep Sen, Jyotsna Agarwal , Jyotsna Agarwal

DOI : 10.18231/j.ijmr.2022.049

Volume : 9

Issue : 4

Year : 2022

Page No : 296-298

Cryptosporidium is one of the major causes of diarrhea in HIV-positive patients. Infection is related to the ingestion of oocyst-contaminated drinking water or food. In HIV infected individuals, this infection could have a higher mortality and vary in clinical manifestation. We report a case of cryptosporidiosis in a recently detected HIV patient who was suffering from intermittent diarrhea for last 2 months. Stool samples were collected and examined by modified Kinyoun’s acid fast staining. On microscopy of smear, we found pink, spherical oocyst 4-6µm in diameter. The absolute CD4+ count of patients was 85 cells/µl and viral load was 560 copies/ml. Patient was treated with an antiparasitic drug Nitazoxanide for 3 days and anti-retroviral Treatment started in ART clinic. On follow up there was resolution of symptoms and no complaints of intermittent diarrhea.
 

Keywords:Cryptosporidium, HIV, AIDS, Diarrhea


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