First detection of acalculous cholecystitis associated with Sarcocystis infection in a patient with AIDS

• Autorzy: Agholi M. , Heidarian H. R. , Moghadami M. , Hatam G. R.
• Języki publikacji: EN

Abstrakty

EN

Acalculous cholecystitis and cholangitis are increasingly being recognized as complications of AIDS. The opportunistic parasites that have been most commonly associated with these disorders are Cryptosporidium species, Isospora belli, Cyclospora cayetanensis and Enterocytozoon bieneusi. The authors performed a parasitological survey on the gallbladder tissue sections of patients underwent cholecystectomy due to chronic acalculous cholecystitis at the Shiraz University of Medical Sciences, Iran. Light microscopic investigation in more than three hundred archived histopathological slides revealed the presence of sexual stages (i.e., mature sporocysts) of a coccidial protozoan in a patient with AIDS who developed acalculous cholecystitis as confirmed by histological, parasitological and molecular tests in which Sarcocystis species was the only identifiable pathogen in gallbladder sections. In the best of our knowledge it’s the first documented case of chronic non-calculous cholecystitis due to Sarcocystis parasite in an Iranian AIDS patient from worldwide.

Słowa kluczowe

EN

cholecystitis; Sarcocystis; infection; patient; AIDS; Cryptosporidium; Enterocytozoon bieneusi; Cyclospora cayetanensis; Isospora belli; intestinal parasite

• Wydawca: -
• Czasopismo: Acta Parasitologica
• Rocznik: 2014
• Tom: 59
• Numer: 2
• Opis fizyczny: p.310-315,fig.,ref.

Twórcy

autor

Agholi M.

• Department of Microbiology, Fasa University of Medical Sciences, Fasa, Iran

autor

Heidarian H. R.

• Department of Parasitology and Mycology, Shiraz University of Medical Sciences, Shiraz, Iran

autor

Moghadami M.

• HIV/AIDS Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

autor

Hatam G. R.

• Basic Sciences in Infectious Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Bibliografia

• Abubakar S., Teoh B.T., Sam S.S., Chang L.Y., Johari J., Hooi P.S., Lakhbeer-Singh H.K., Italiano C.M., Omar S.F., Wong K.T., Ramli N., Tan C.T. 2013. Outbreak of Human Infection with Sarcocystis nesbitti, Malaysia, 2012. Emerging Infectious Diseases, 19, 1989–1991. DOI: 10.3201/eid1912.120530.
• Ackers J.P. 1997. Gut Coccidia: Isospora, Cryptosporidium, Cyclospora and Sarcocystis. Seminars in Gastrointestinal Disease, 8, 33–44.
• Benator D.A., French A.L., Beaudet L.M., Levy C.S., Orenstein J.M. 1994. Isospora belli infection associated with acalculous cholecystitis in a patient with AIDS. Annals of Internal Medicine, 121, 663–664.
• Borji H., Parandeh S. 2010. The abattoir condemnation of meat because of parasitic infection, and its economic importance: results of a retrospective study in north-eastern Iran. Annals of Tropical Medicine and Parasitology, 104, 641–647. DOI: 10.1179/136485910X12851868780261.
• Bunyaratvej S., Bunyawongwiroj P., Nitiyanant P. 1982. Human intestinal sarcosporidiosis: report of six cases. American Journal of Tropical Medicine and Hygiene, 31, 36–41.
• Bunyaratvej S., Unpunyo P. 1992a. Combined Sarcocystis and grampositive bacterial infections. A possible cause of segmental enterocolitis in Thailand. Journal of the Medical Association of Thailand, 75, 38–44.
• Bunyaratvej S., Visalsawadi P., Likitarunrat S. 1992b. Sarcocystis infection and actinomycosis in tumorous eosinophilic enterocolitis. Journal of the Medical Association of Thailand, 75, 71–75.
• Chui D.W., Owen R.L. 1994. AIDS and the gut. Journal of Gastroenterology and Hepatology, 9, 291–303.
• Dissanaike A.S. 1994. Human Sarcocystis infection. Transactions of the Royal Society of Tropical Medicine and Hygiene, 88, 364.
• Fayer R. 2004. Sarcocystis spp. in human infections. Clinical Microbiology Reviews, 17, 894–902.
• French A.L., Beaudet L.M., Benator D.A., Levy C.S., Kass M., Orenstein J.M. 1995. Cholecystectomy in patients with AIDS: clinicopathologic correlations in 107 cases. Clinical Infectious Diseases, 21, 852–858.
• Knapp P.E., Saltzman J.R., Fairchild P. 1996. Acalculous cholecystitis associated with microsporidial infection in a patient with AIDS. Clinical Infectious Diseases, 22, 195–196.
• MacLean R.C., Hafez N., Tripathi S., Childress C.G., Ghatak N.R., Marciano-Cabral F. 2007. Identification of Acanthamoeba sp. in paraffin-embedded CNS tissue from an HIV + individual by PCR. Diagnostic Microbiology and Infectious Diseases, 57, 289–94.
• Makhija M. 2012. Histological identification of muscular sarcocystis: a report of two cases. Indian Journal of Pathology and Microbiology, 55, 552–554. DOI: 10.4103/0377-4929.107 813.
• Nourani H., Matin S., Nouri A., Azizi H. 2010. Prevalence of thinwalled Sarcocystis cruzi and thick-walled Sarcocystis hirsuta or Sarcocystis hominis from cattle in Iran. Tropical Animal Health and Production, 42, 1225–1227. DOI: 10.1007/s11 250-010-9552-z.
• Nourollahi Fard S.R., Asghari M., Nouri F. 2009. Survey of Sarcocystis infection in slaughtered cattle in Kerman, Iran. Tropical Animal Health and Production, 41, 1633–1636. DOI: 10.1007/s11250-009-9358-z.
• Pitlik S.D., Fainstein V., Rios A., Guard L., Mansell P.W., Hersh E.M. 1983. Cryptosporidial cholecystitis. New England Journal of Medicine, 308, 967.
• Ramón-García G., Sadowinski-Pine S. 1996. Acalculous cholecystitis and microsporidiasis in a patient with AIDS. Clinical Infectious Diseases, 23, 664.
• Reiter G.S. 1995. Abdominal pain in an HIV-infected man. AIDS Clinical Care, 7, 92–96.
• Shekarforoush S.S., Razavi S.M., Dehghan S.A., Sarihi K. 2005. Prevalence of Sarcocystis species in slaughtered goats in Shiraz, Iran. Veterinary Record, 156, 418–420.
• Tappe D., Abdullah S., Heo C.C., Kannan Kutty M., Latif B. 2013. Human and animal invasive muscular sarcocystosis in Malaysia-recent cases, review and hypotheses. Tropical Biomedicine, 30, 355–366.
• Vakil N.B., Schwartz S.M., Buggy B.P., Brummitt C.F., Kherellah M., Letzer D.M., Gilson I.H., Jones P.G. 1996. Biliary cryptosporidiosis in HIV-infected people after the waterborne outbreak of cryptosporidiosis in Milwaukee. New England Journal of Medicine, 334, 19–23.
• Walther Z., Topazian M.D. 2009. Isospora cholangiopathy: case study with histologic characterization and molecular confirmation. Human Pathology, 40, 1342–1346. DOI: 10.1016/j.humpath.2009.01.020.
• Wilairatana P., Radomyos P., Radomyos B., Phraevanich R., Plooksawasdi W., Chanthavanich P., Viravan C., Looareesuwan S. 1996. Intestinal sarcocystosis in Thai laborers. Southeast Asian Journal of Tropical Medicine and Public Health, 27, 43–46.
• Xiang Z., Chen X., Yang L., He Y., Jiang R., Rosenthal B.M., Luan P., Attwood S.W., Zuo Y., Zhang Y.P., Yang Z. 2009. Noninvasive methods for identifying oocysts of Sarcocystis spp. from definitive hosts. Parasitology International, 58, 293–296. DOI: 10.1016/j.parint.2009.03.004.
• Zar F.A., El-Bayoumi E., Yungbluth M.M. 2001. Histologic proof of acalculous cholecystitis due to Cyclospora cayetanensis. Clinical Infectious Diseases, 33, 140–141.
• Yang Z.Q., Zuo Y.X., Yao Y.G., Chen X.W., Yang G.C., Zhang Y.P. 2001. Analysis of the 18S rRNA genes of Sarcocystis species suggests that the morphologically similar organisms from cattle and water buffalo should be considered the same species. Molecular and Biochemical Parasitology, 115, 283–288.
• Yusuf T.E., Baron T.H. 2004. AIDS Cholangiopathy. Current Treatment Options in Gastroenterology, 7, 111–117.