Skip to main content
SpringerLink
Log in

Neue Darmparasiten — Klinische Manifestationen beim Immunsupprimierten

  • Chapter
Ökosystem Darm VIII

  • 47 Accesses

Zusammenfassung

In den letzten Jahren Wurde vor allem im Zusammenhang mit der weltweiten HIV-Pandemie eine Reihe gastrointestinaler Infektionen und Erkrankungen durch neue Darmparasiten beschrieben, die bei Immunsupprimierten einen besonderen klinischen Verlauf nehmen können. Hierbei handelt es sich um die Kryptosporidiose, die Mikrosporidiosen und die Cyclosporiasis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Asmuth DM, DeGirolami PC, Federman M et al. (1994) Clinical features of microsporidiosis in patients with AIDS. Clin Infect Dis 18:819–825.

    Article  PubMed  CAS  Google Scholar 

  2. Blanshard C, Jackson AM, Shanson DC et al. (1992) Cryptosporidiosis in HIV-seropositive patients. Quart J Med 85:813–823.

    PubMed  CAS  Google Scholar 

  3. Cappell MS (1997) The pancreas in AIDS. Gastroenterol Clin North Am 26:337–365.

    Article  PubMed  CAS  Google Scholar 

  4. Clark DP, Sears CL (1996) The pathogenesis of cryptosporidiosis. Parasitol Today 12:221–225.

    Article  PubMed  CAS  Google Scholar 

  5. Connor BA, Shlim DR, Scholes JV et al. (1993) Pathologic changes in the small bowel in nine patients with diarrhea associated with a coccidia-like body. Ann Intern Med 199:377–382.

    Google Scholar 

  6. Coyle CM, Wittner M, Kotler DP et al. (1996) Prevalence of microsporidiosis due to Enterocytozoon bieneusi and Encephalitozoon (Septata) intestinalis among patients with AIDS-related diarrhea: determination by polymerase chain reaction to the microsporidian small-subunit rRNA gene. Clin Infect Dis 23:1002–1006.

    Article  PubMed  CAS  Google Scholar 

  7. Duong TH, Dufillot D, Koko J et al. (1995) Cryptosporidiose digestive chez le jeune enfant en zone urbaine au Gabon. Santé 5:185–188.

    PubMed  CAS  Google Scholar 

  8. DuPont HL, Chappell CL, Sterlin cR et al. (1995) The infectivity of Cryptosporidium parvum in healthy volunteers. N Engl J Med 332:855–859.

    Article  PubMed  CAS  Google Scholar 

  9. Flanigan T, Whalen C, Turner J et al. (1992) Cryptosporidium infection and CD4 counts. Ann Intern Med 116:840–842 10.

    Google Scholar 

  10. French AL, Beaudet LM, Benator DA et al. (1995) Cholecystectomy in patients with AIDS: clinicopathologic correlations in 107 cases. Clin Infect Dis 21:852–858.

    Article  PubMed  CAS  Google Scholar 

  11. Frisby HR, Addiss DG, Reiser WJ et al. (1997) Clinical and epidemiologic features of a massive waterborne outbreak of cryptosporidiosis in persons with HIV infection. J Acquir Immune Defk Syndr Hum Retrovirol 16:367–373.

    Article  CAS  Google Scholar 

  12. Goodgame RW, Kimball K, Ou CN et al. (1995) Intestinal function and injury in acquired immunodeficiency syndrome-related cryptosporidiosis. Gastroenterology 108:1075–1082.

    Article  PubMed  CAS  Google Scholar 

  13. Griffiths JK (1998) Human cryptosporidiosis: epidemiology, transmission, clinical disease, treatment, and diagnosis. Adv Parasitol 40:37–85.

    Article  PubMed  CAS  Google Scholar 

  14. Guarino A, Canani RB, Pozio E et al. (1994) Enterotoxic effect of stool supernatant of Crypto-sporidium-infected calves on human jejunum. Gastroenterology 106:28–34.

    PubMed  CAS  Google Scholar 

  15. Günthard M, Meister T, Lüthy R, Weber R (1996) Intestinale Kryptosporidiose bei HIV-Infektion. Krankheitsbild, Verlauf und Therapie. Dtsch Med Wochenschr 121:686–692.

    Article  PubMed  Google Scholar 

  16. Herwaldt BL, Ackers ML and the Cyclospora Working Group (1997) An outbreak in 1996 of cyclosporiasis associated with imported raspberries. N Engl J Med 336:1548–1556.

    Article  Google Scholar 

  17. Jelinek T, Lotze M, Eichenlaub S et al. (1997) Prevalence of infection with Cryptosporidium parvum and Cyclospora cayetanensis among international travellers. Gut 41:801–804.

    Article  PubMed  CAS  Google Scholar 

  18. Jokipii L, Pohjola S, Jokipii AM (1983) Cryptosporidium: a frequent finding in patients with gastrointestinal symptoms. Lancet 11.358–361.

    Article  Google Scholar 

  19. Jordan WC (1996) Clarithromycin prophylaxis against Cryptosporidium enteritis in patients with AIDS. J Natl Med Assoc 88:425–427.

    PubMed  CAS  Google Scholar 

  20. Just G, Neisel F, Helm EB et al. (1987) Kryptosporidien-Infektionen bei AIDS. Dtsch Med Wochenschr 112:378–381.

    Article  PubMed  CAS  Google Scholar 

  21. Kamel AG, Maning N, Arulmainathan S et al. (1994) Cryptosporidiosis among HIV positive intravenous drug users in Malaysia. Southeast Asian J Trop Med Public Health 25(4):650–653

    PubMed  CAS  Google Scholar 

  22. Kapembwa MS, Bridges C, Joseph AEA et al. (1990) Ileal and jejunal absorptive function in patients with AIDS and enterococcidial infection. J Infect 21:43–53

    Article  PubMed  CAS  Google Scholar 

  23. Kern W, Mayer S, Kreuzer P, Vanek E (1987) Low prevalence of intestinal crytosporidiosis among immunocompetent and immunocompromised patients with and without diarrhoea in southern Germany. Infection 15:440–443

    Google Scholar 

  24. Kotler DP, Orenstein JM (1998) Clinical syndromes associated with microsporidiosis. Adv Parasitol 40:321–349.

    Article  PubMed  CAS  Google Scholar 

  25. Leiva JI, Etter EL, Gathe J et al. (1997) Surgical therapy for 101 patients with acquired immu- nodeficiency syndrome and symptomatic cholecystitis. Am J Surg 174:414–416

    Article  PubMed  CAS  Google Scholar 

  26. McGowan I, Hawkins AS, Weller IV (1993) The natural history of cryptosporidial diarrhoea in HIV-infected patients. AIDS 7:349–354

    Article  PubMed  CAS  Google Scholar 

  27. Molbak K, Andersen M, Aaby P et al. (1997) Cryptosporidium infection in infancy as a cause of malnutrition: a community study from Guinea-Bissau, West Africa. Am J Clin Nutr 65:149–152

    PubMed  CAS  Google Scholar 

  28. Ortega YR, Sterlin CR, Gilman RH et al. (1993) Cyclospora species - A new protozoan patho- gen of humans. N Engl J Med 328:1308–1312

    Article  PubMed  CAS  Google Scholar 

  29. Ortega YR, Sterlin CR, Gilman RH (1998) Cyclospora cayetanensis. Adv Parasitol 40:399–418

    Article  PubMed  CAS  Google Scholar 

  30. Ott M, Lembcke B, Staszewski S et al. (1991) Intestinale Permeabilität bei Patienten mit erworbenem Immundefekt-Syndrom (AIDS). Klin Wschr 69:715–721

    Article  PubMed  CAS  Google Scholar 

  31. Pape JW, Verdier RI, Boncy M et al. (1994) Cyclospora infection in adults infected with HIV. Clinical manifestations, treatment, and prophylaxis. Ann Intern Med 121:654–657

    PubMed  CAS  Google Scholar 

  32. Pettoello-Mantovani M, Di Martino L, Dettori G et al. (1995) Asymptomatic carriage of intestinal Cryptosporidium in immunocompetent and immunodeficient children: a prospec- tive study. Pediatr Infect Dis J 14:1042–1047.

    Google Scholar 

  33. Rabeneck L, Genta RM, Gyorkey F et al. (1995) Observations on the pathological spectrum and clinical course of microsporidiosis in men infected with the human immunodeficiency virus: follow-up study. Clin Infect Dis 20:1229–1235

    Article  PubMed  CAS  Google Scholar 

  34. Raynaud L, Delbac F, Broussolle V et al. (1998) Identification of Encephalitozoon intestinalis in travelers with chronic diarrhea by specific PCR amplification. J Clin Microbiol 36:37–40

    PubMed  CAS  Google Scholar 

  35. Roberts WG, Green PH, Ma J et al. (1989) Prevalence of cryptosporidiosis in patients undergoing endoscopy: evidence for an asymptomatic carrier state. Am J Med 87:537–539

    Article  PubMed  CAS  Google Scholar 

  36. Sandfort J, Hannemann A, Gelderblom H et al. (1994) Enterocytozoon bieneusi infection in an immunocompetent patient who had acute diarrhea and who was not infected with the human immunodeficiency virus. Clin Infect Dis 19:514–516

    Article  PubMed  CAS  Google Scholar 

  37. Schuster W, Fischer R, Alsleben S, Schuster B (1991) Cryptosporidium sp. in stool specimens from diarrhoeic and asymptomatic individuals in the Magdeburg area (East Germany). Angew Parasitol 32:193–197

    PubMed  CAS  Google Scholar 

  38. Sifuentes-Osornio J, Porras-Cortes G, Bendall RP et al. (1995) Cyclospora cayetanensis infection in patients with and without AIDS: biliary disease as another clinical manifestation. Clin Infect Dis 21:1092–1097.

    Article  Google Scholar 

  39. Soave R, Herwaldt BL, Relman DA (1988) Cyclospora. Infect Dis Clin North Am 12:1–12

    Article  Google Scholar 

  40. Sobottka I, Albrecht H, Schottelius C et al. (1995) Self-limited diarrhea due to a dual infection with Enterocytozoon bieneusi and Cryptosporidium parvum in an immunocompetent HIV-negative child. Eur J Clin Infect Dis 14:9191–9120

    Article  Google Scholar 

  41. Steeb S, Hagedorn HJ, Krone JR (1997) Kryptosporidiose bei immunkompetenten Patienten. Dtsch Med Wschr 112:990–994

    Article  Google Scholar 

  42. Weber R, Deplazes P (1995) Neue parasitäre Erkrankungen beim Menschen: Infektionen durch Mikrosporidien und Cyclospora species. Schweiz Med Wochenschr 125:909–923

    PubMed  CAS  Google Scholar 

  43. Weber R, Bryan RT, Schwartz DA, Owen RL (1994) Human microsporidial infections. Clin Microbiol Rev 7:426–461

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. T. Löscher
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Pathologisch-Anatomisches Institut, Universität Erlangen-Nürnberg, Krankenhausstraße 8-10, D-91054, Erlangen, Germany

    Thomas Kirchner

  2. Medizinische Klinik II, Klinikum der Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, D-60590, Frankfurt am Main, Germany

    Bernhard Lembcke

  3. Institut für Medizinische Mikrobiologie und Hygiene, Hermann-Herder-Straße 11, D-79104, Freiburg, Germany

    Manfred Kist

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Löscher, T. (1999). Neue Darmparasiten — Klinische Manifestationen beim Immunsupprimierten. In: Kirchner, T., Lembcke, B., Kist, M. (eds) Ökosystem Darm VIII. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59963-7_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-59963-7_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-64837-6

  • Online ISBN: 978-3-642-59963-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation