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Parasitic Diseases in the Compromised Host

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Clinical Approach to Infection in the Compromised Host

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Abstract

In the United States, Western Europe, and the mature health care delivery systems of Asia and Africa, two parasitic diseases should be carefully considered in the evaluation of fever and possible infection in the immunocompromised host: toxoplasmosis and pneumocystosis. In addition, three other diseases—strongyloidiasis, giardiasis, and babesiosis—occasionally occur in patients who are immunosuppressed or splenectomized. The ongoing epidemic of acquired immunodeficiency syndrome (AIDS) has called our attention to two coccidial protozoa—Cryptosporidium and Isospora belli—as causes of diarrhea. These entities should be suspected in any patient with compromised cell-mediated immunity and symptoms of gastroenteritis. It should, however, be acknowledged that in many of the developing countries of the world a number of other common parasitic entities can be expected to afflict both immunosuppressed and normal hosts.

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Authors and Affiliations

  1. Department of Medicine, Infectious Diseases Service, Kaiser Permanente Medical Center, Los Angeles, California, 90027, USA

    Joel Ruskin

  2. School of Medicine, University of California-Los Angeles, Los Angeles, California, 90024, USA

    Joel Ruskin

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Editors and Affiliations

  1. Infectious Disease and Transplantation Units, Massachusetts General Hospital and Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA

    Robert H. Rubin M.D.

  2. Division of Infectious Diseases, Pacific Presbyterian Medical Center, Kuzell Institute for Arthritis and Infectious Diseases, San Francisco, California, USA

    Lowell S. Young M.D.

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Ruskin, J. (1988). Parasitic Diseases in the Compromised Host. In: Rubin, R.H., Young, L.S. (eds) Clinical Approach to Infection in the Compromised Host. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6642-7_10

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