Presentation
Hence, it is recommended that a stool screening for microsporidia be done in selected patients presented with gastrointestinal symptoms. [ukm.pure.elsevier.com]
Significant predictors of AIDS-related mortality at presentation included the level of immunodeficiency and receiving no or ineffective HAART (P [ncbi.nlm.nih.gov]
Entire Body System
- Weight Loss
The clinical presentation was chronic diarrhea with massive weight loss. Stool analysis revealed microsporidian spores, identified as Enterocytozoon bieneusi spores by polymerase chain reaction. [ncbi.nlm.nih.gov]
- Pain
The commonest clinical presentations were diarrhoea (85.0%) with 83.0 % of patients having loose or watery stools, vomiting (75.0%), foul-smelling stools (60.0%), nausea (59.0%) and cramping abdominal pain (39.0%). [ukm.pure.elsevier.com]
Clinical features of these patients included chronic diarrhea (100%), weight loss (100%), abdominal pain (77%), fever (36%), vomiting (36%) and anorexia (18%). [ncbi.nlm.nih.gov]
The most common manifestation of intestinal microsporidiosis in HIV-positive patients is profuse, watery, non-bloody diarrhoea, sometimes accompanied by abdominal pain and cramping, nausea, vomiting and weight loss. [apps.who.int]
Clinical findings—GI tract Chronic, watery diarrhoea, decreased weight, abdominal pain, nausea, vomiting. Clinical-systemic symptoms Cholecystitis, renal failure, red eyes, photosensitivity, respiratory tract infections. [medical-dictionary.thefreedictionary.com]
- Asymptomatic
Our findings suggest asymptomatic intestinal microsporidiosis is common in the study population, more than previously reported. [ncbi.nlm.nih.gov]
Infection by Microsporidia, which usually infects immunocompromised hosts, especially AIDS Pts Clinical–GI tract Chronic, watery diarrhea, ↓ weight, abdominal pain N&V; Clinical—systemic Sx of cholecystitis, renal failure, RTIs, red eyes, photosensitivity, asymptomatic [medical-dictionary.thefreedictionary.com]
- Fever
The least common symptoms were fever (15.0%), mucous in stool (5.0%) and blood in stool (4.0%). [ukm.pure.elsevier.com]
Clinical features of these patients included chronic diarrhea (100%), weight loss (100%), abdominal pain (77%), fever (36%), vomiting (36%) and anorexia (18%). [ncbi.nlm.nih.gov]
Rickettsia Rickettsii and Other Spotted Fever Group Rickettsiae (Rocky Mountain Spotted Fever and Other Spotted Fevers) 188. Rickettsia Akari (Rickettsialpox) 189. Coxiella Burnetii (Q Fever) 190. [euro-libris.ro]
When impacting the gastrointestinal tract, severe diarrhea and wasting are often noted, oftentimes in the absence of fever, inflammation or high fever. [verywell.com]
[…] up to 20% of diarrhoeal illness in patients with AIDS. 9 Typically, patients have a CD4 T lymphocyte cell (CD4) count of < 50/μL. 1 Immunodeficient patients present with chronic (initially intermittent) non-bloody diarrhoea that may be accompanied by fever [hivmanagement.ashm.org.au]
- Anorexia
Clinical features of these patients included chronic diarrhea (100%), weight loss (100%), abdominal pain (77%), fever (36%), vomiting (36%) and anorexia (18%). [ncbi.nlm.nih.gov]
The patient developed anorexia and lost about 10 kg of weight. The diagnosis was AIDS in the 4th stage with chronic diarrheal and epigastric syndrome, probably due to peptic ulcer. Endoscopy revealed granular intestinal mucosa. [popline.org]
20% of diarrhoeal illness in patients with AIDS. 9 Typically, patients have a CD4 T lymphocyte cell (CD4) count of < 50/μL. 1 Immunodeficient patients present with chronic (initially intermittent) non-bloody diarrhoea that may be accompanied by fever, anorexia [hivmanagement.ashm.org.au]
The diarrhea is non-bloody and without fecal leucocytes, but may be profuse and watery and associated with abdominal pain, cramping, nausea, vomiting, anorexia, and weight loss. The patients usually have from three to 10 bowel movements per day. [nursinglink.monster.com]
Respiratoric
- Aspiration
It is not known whether pulmonary microsporidiosis was acquired by the aerosol route, by aspiration, or by hematogenous dissemination from the intestine. [ncbi.nlm.nih.gov]
Weber R, Bryan RT, Owen RL, Wilcox CM, Gorelkin L, Visvesvara GS (1992) Improved light-microscopical detection of microsporidia spores in stool and duodenal aspirates. [link.springer.com]
Gastrointestinal
- Diarrhea
The mean age of these 8 patients was 75 years; 7 had chronic diarrhea and 1 had nonchronic diarrhea. Six of the patients with chronic diarrhea had no other pathogens isolated. [investigacionusp.ceu.es]
Microsporidia were the most common enteropathogen identified in 18 (36.0%) of 50 patients with diarrhea and 2 (4.3%) of 47 patients without diarrhea (P < .001; chi2 test). [ncbi.nlm.nih.gov]
- Chronic Diarrhea
The mean age of these 8 patients was 75 years; 7 had chronic diarrhea and 1 had nonchronic diarrhea. Six of the patients with chronic diarrhea had no other pathogens isolated. [investigacionusp.ceu.es]
He experienced chronic diarrhea, wasting syndrome, chronic cough, and dyspnea. His chest roentgenogram showed a small left posterobasal infiltrate and a small left pleural effusion. [ncbi.nlm.nih.gov]
- Vomiting
The commonest clinical presentations were diarrhoea (85.0%) with 83.0 % of patients having loose or watery stools, vomiting (75.0%), foul-smelling stools (60.0%), nausea (59.0%) and cramping abdominal pain (39.0%). [ukm.pure.elsevier.com]
Clinical features of these patients included chronic diarrhea (100%), weight loss (100%), abdominal pain (77%), fever (36%), vomiting (36%) and anorexia (18%). [ncbi.nlm.nih.gov]
The most common manifestation of intestinal microsporidiosis in HIV-positive patients is profuse, watery, non-bloody diarrhoea, sometimes accompanied by abdominal pain and cramping, nausea, vomiting and weight loss. [apps.who.int]
- Abdominal Pain
The commonest clinical presentations were diarrhoea (85.0%) with 83.0 % of patients having loose or watery stools, vomiting (75.0%), foul-smelling stools (60.0%), nausea (59.0%) and cramping abdominal pain (39.0%). [ukm.pure.elsevier.com]
Clinical features of these patients included chronic diarrhea (100%), weight loss (100%), abdominal pain (77%), fever (36%), vomiting (36%) and anorexia (18%). [ncbi.nlm.nih.gov]
The most common manifestation of intestinal microsporidiosis in HIV-positive patients is profuse, watery, non-bloody diarrhoea, sometimes accompanied by abdominal pain and cramping, nausea, vomiting and weight loss. [apps.who.int]
Clinical findings—GI tract Chronic, watery diarrhoea, decreased weight, abdominal pain, nausea, vomiting. Clinical-systemic symptoms Cholecystitis, renal failure, red eyes, photosensitivity, respiratory tract infections. [medical-dictionary.thefreedictionary.com]
pain one month after commencing cART. [hivmanagement.ashm.org.au]
- Nausea
The commonest clinical presentations were diarrhoea (85.0%) with 83.0 % of patients having loose or watery stools, vomiting (75.0%), foul-smelling stools (60.0%), nausea (59.0%) and cramping abdominal pain (39.0%). [ukm.pure.elsevier.com]
The infected patient was a 24-year-old homosexual male with AIDS who underwent upper endoscopy because of acute epigastric pain, nausea, and vomiting. [ncbi.nlm.nih.gov]
The most common manifestation of intestinal microsporidiosis in HIV-positive patients is profuse, watery, non-bloody diarrhoea, sometimes accompanied by abdominal pain and cramping, nausea, vomiting and weight loss. [apps.who.int]
Clinical findings—GI tract Chronic, watery diarrhoea, decreased weight, abdominal pain, nausea, vomiting. Clinical-systemic symptoms Cholecystitis, renal failure, red eyes, photosensitivity, respiratory tract infections. [medical-dictionary.thefreedictionary.com]
It is often accompanied by nausea, vomiting, abdominal cramps, and low-grade fever. Data from animal studies suggest that as few as two to 10 oocysts may be sufficient to establish infection. [nursinglink.monster.com]
Psychiatrical
- Suggestibility
Although no pulmonary pathology could be established in either of these cases, it is now clear that E. bieneusi is capable of colonizing the respiratory tract and it is suggested that investigators should be aware of the possibility of finding E. bieneusi [ncbi.nlm.nih.gov]
Treatment
Degenerative changes occurred in the parasites after treatment, which had not been seen either in pre-treatment biopsies or, in four patients, following therapy with other drugs. [ncbi.nlm.nih.gov]
Original Article Fumagillin Treatment of Intestinal Microsporidiosis List of authors. [nejm.org]
Prognosis
IMAGES Microsporidiosis See pictures of Bacterial Skin Conditions See Images What is the prognosis of microsporidiosis? In general, the prognosis of microsporidiosis in healthy individuals with a normal immune system is good. [medicinenet.com]
What is the Prognosis of Microsporidiosis? (Outcomes/Resolutions) The prognosis of Microsporidiosis is as follows: Treatment can be successful in decreasing infection by Microsporidia if it is addressed early. [dovemed.com]
Prognosis Most patients who develop intestinal microsporidiosis are severely immunosuppressed; therefore, the prognosis is usually poor in these patients. [emedicine.medscape.com]
[…] hellem ) as cause of intestinal microsporidiosis in cancer patients. [14] Some of these species respond to currently available treatment, others do not. [15] Knowledge about prevalent species of the organism is important while deciding on treatment and prognosis [ijmm.org]
Etiology
The etiologic agent was Enterocytozoon bieneusi in 18 patients and Encephalitozoon intestinalis in two patients. [ncbi.nlm.nih.gov]
Moreover, the etiological and clinical aspects and the histologic and electron microscopic features of biopsy samples are reported. [books.google.com]
Inflammatory bowel disease: etiology, pathogenesis and current therapy. Current Pharmaceutical Design 2014 ; 20 ( 7 ): 1082 – 1096. 8. Corridoni, D, Arseneau, KO, Cominelli, F. Inflammatory bowel disease. [cambridge.org]
Prevention of Microsporidiosis As the etiology (cause) of microsporidiosis is not entirely clear, it is advised that immune-compromised individuals follow the same guidelines for cystoisosporiasis, which includes avoiding untreated water, raw meat, or [verywell.com]
Epidemiology
PCR-RFLP analysis of the ITS region of E. bieneusi should be useful for epidemiological studies. [ncbi.nlm.nih.gov]
The epidemiology and environmental factors affecting transmission of human microsporidiosis are poorly understood. [ukm.pure.elsevier.com]
The unique problems of developing countries, the epidemiological and immunological aspects, the risks for immunodeficient travellers and the reservoirs and ways of transmission from animal to man are all equally considered, as are the diagnostic advances [books.google.com]
Pathophysiology
Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test Microsporidia are highly specialized fungi that cause a wide variety of clinical syndromes in humans. [mayocliniclabs.com]
Pathophysiology Humans acquire microsporidiosis through ingestion or inhalation of microsporidia spores. [emedicine.medscape.com]
Prevention
It will also provide an easy-to-read guide for the general reader interested in finding out more about the diagnosis and prevention of HIV and AIDS. [books.google.com]
[…] the Centers for Disease Control and Prevention. [scielo.br]
Because of the possibility of sexual transmission, safe sexual practices are an important preventive step. At this time, there is no vaccine available to prevent microsporidiosis. [medicinenet.com]
"Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescent – Microsporidiosis." Rockville, Maryland; updated May 7, 2013 Dworkins, M.; Buskin, S.; Davidson, A.; et al. [verywell.com]