Parasitic infections in HIV-infected patients who visited Seoul National University Hospital during the period 1995-2003

  • GUK Sang-Mee (Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center) ;
  • SEO Min (Department of Parasitology, College of Medicine, Dankook University) ;
  • PARK Yun-Kyu (Department of Parasitology, College of Medicine, Inha University) ;
  • OH Myoung-Don (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • CHOE Kang-Won (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • KIM Jae-Lip (Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center) ;
  • CHOI Min-Ho (Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center) ;
  • HONG Sung-Tae (Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center) ;
  • CHAI Jong-Yil (Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center)
  • Published : 2005.03.01

Abstract

The prevalence of parasitic infections was investigated in human immunodeficiency virus (HIV)-infected patients (n = 105) who visited Seoul National University Hospital, Seoul, Korea, during the period from 1995 to 2003. Fecal samples were collected from 67 patients for intestinal parasite examinations, and sputum or bronchoalveolar lavage samples from 60 patients for examination of Pneumocystis carinii. Both samples were obtained from 22 patients. Thirty-three ($31.4\%$) of the 105 were found to have parasitic infections; Cryptosporidium parvum ($10.5\%$; 7/67), Isospora belli ($7.5\%$; 5/67), Clonorchis sinensis ($3.0\%$; 2/67), Giardia lamblia ($1.5\%$; 1/67), Gymnophalloides seoi ($1.5\%$; 1/67), and Pneumocystis carinii ($28.3\%$; 17/60). The hospital records of the 11 intestinal parasite-infected patients showed that all suffered from diarrhea. This study shows that parasitic infections are important clinical complications in HIV-infected patients in the Republic of Korea.

Keywords

References

  1. Aderaye G, Bruchfeld J, Olsson M, Lindquist L (2003) Occurrence of Pneumocystis carinii in HIV-positive patients with suspected pulmonary tuberculosis in Ethiopia. AIDS 17: 435-440 https://doi.org/10.1097/00002030-200302140-00018
  2. Chai JY, Choi MH, Yu JR, Lee SH (2003) Gymnophalloides seoi: a new human intestinal trematode. Trends Parasitol 19: 109-112 https://doi.org/10.1016/S1471-4922(02)00068-5
  3. Chai JY, Kim NY, Guk SM, Park YK, Seo M, Han ET, Lee SH (2001) High prevalence and seasonality of cryptosporidiosis in a small rural village occupied predominantly by aged people in the Republic of Korea. Am J Trop Med Hyg 65: 518-522 https://doi.org/10.4269/ajtmh.2001.65.518
  4. Choi HJ, Park SW, Kim HB, Kim NJ, Shin DH, Oh MD, Jung HC, Song IS, Choe KW (1999) The gastrointestinal infections in Korean patients with human immunodeficiency virus infection. Korean J Gastraenterol 33: 482-488
  5. Escobedo AA, Nunez FA (1999) Prevalence of intestinal parasites in Cuban acquired immunodeficiency syndrome (AIDS) patients. Acta Trap 72: 125-130 https://doi.org/10.1016/S0001-706X(98)00091-6
  6. Fischl MA, Dickinson GM, La Voie L (1988) Safety and efficacy of sulfamethoxazole and trimethoprim chemoprophylaxis for Pneumocvstis carinii pneumonia in AIDS. JAMA 259: 1185-1189 https://doi.org/10.1001/jama.259.8.1185
  7. Guk SM, Yong TS, Chai JY (2003) Role of murine intestinal intraepithelial lymphocytes and lamina propria lymphocytes against primary and challenge infections with Cryptosporidium paroum. J Parasitol 89: 270-275 https://doi.org/10.1645/0022-3395(2003)089[0270:ROMIIL]2.0.CO;2
  8. Kim JM, Cho GJ, Hong SK, Chang KH, Chung JS, Choi YH, Song YG, Huh A, Yeom JS, Lee KS, Choi JY (2003) Epidemiology and clinical features of HIV infection/ AIDS in Korea. Yonsei Med J 44: 363-370
  9. Lebbad M, Norrgren H, Naucler A, Dias F, Andersson S, Linder E (2001) Intestinal parasites in HIV-2 associated AIDS cases with chronic diarrhoea in Guinea-Bissau. Acta Trap 80: 45-49 https://doi.org/10.1016/S0001-706X(01)00142-5
  10. Mohandas K, Sehgal R, Sud A, Malla N (2002) Prevalence of intestinal parasitic pathogens in HIV-seropositive individuals in Northern India. Jpn J Infect Dis 55: 83-84
  11. Oh MD, Lee K, Kim E, Lee S, Kim N, Choi H, Choi MH, Chai JY, Choe K (2000) Amoebic liver abscess in HIV-infected patients. AIDS 14: 1872-1873 https://doi.org/10.1097/00002030-200008180-00033
  12. Oh MD, Park SW, Kim HB, Kim US, Kim NJ, Choi HJ, Shin DH, Lee JS, Choe K (1999) Spectrum of opportunistic infections and malignancies in patients with human immunodeficiency virus infection in South Korea. Clin Infect Dis 29: 1524-1528 https://doi.org/10.1086/313516
  13. Sorvillo FJ, Lieb LE, Seidel J, Kerndt P, Turner J, Ash LR (1995) Epidemiology of isosporiasis among persons with acquired immunodeficiency syndrome in Los Angeles County. Am J Trop Med Hyg 53: 656-659 https://doi.org/10.4269/ajtmh.1995.53.656
  14. Vajpayee M, Kanswal S, Seth P, Wig N (2003) Spectrum of opportunistic infections and profile of CD4+ counts among AIDS patients in North India. Infection 31: 336-340
  15. Wiwanitkit V (2001) Intestinal parasitic infections in Thai HIV-infected patients with different immunity status. BMC Gastroenterol 1: 3
  16. Wohl AR, Simon P, Hu YW, Duchin JS (2002) The role of person-to-person transmission in an epidemiologic study of Pneumocystis carinii pneumonia. AIDS 16: 1821-1825 https://doi.org/10.1097/00002030-200209060-00016
  17. Zali MR, Mehr AJ, Rezaian M, Meamar AR, Vaziri S, Mohraz M (2004) Prevalence of intestinal parasitic pathogens among HIV-positive individuals in Iran. Jpn J Infect Dis 57: 268-270