|LETTER TO THE EDITOR
|Year : 2015 | Volume
| Issue : 2 | Page : 274-275
The most frequent parasites in HIV-infected patients in Asia and Africa
Seyed Hossein Shahcheraghi1, Jamshid Ayatollahi1, Marzieh Lotfi2, Mohammad Sadegh Raeeszadeh3
1 Department of Infectious Diseases,Infectious and Tropical Diseases Research Center, Yazd, Iran
2 Department of Modern Sciences and Technologies, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
|Date of Web Publication||13-Mar-2015|
Seyed Hossein Shahcheraghi
Infectious and Tropical Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Shahcheraghi SH, Ayatollahi J, Lotfi M, Raeeszadeh MS. The most frequent parasites in HIV-infected patients in Asia and Africa. Med J DY Patil Univ 2015;8:274-5
|How to cite this URL:|
Shahcheraghi SH, Ayatollahi J, Lotfi M, Raeeszadeh MS. The most frequent parasites in HIV-infected patients in Asia and Africa. Med J DY Patil Univ [serial online] 2015 [cited 2023 Mar 24];8:274-5. Available from: https://www.mjdrdypu.org/text.asp?2015/8/2/274/153188
Acquired immunodeficiency syndrome (AIDS) is acquired by infection with human immuno-deficiency virus (HIV). The cause of the disease is a virus from the retrovirus class in humans. HIV/AIDS ranks among the most dreaded diseases afflicting mankind, causing dysfunction of the immune system and resulting in overwhelming and fatal opportunistic infections. ,
Diarrhea is one of the most common presenting complaints in HIV-infected patients.  There are varieties of methods to find parasites in stool samples, such as the method that stool samples obtain from each patient and parasites are examined by direct, formol-ether and modified Ziehl - Neelsen stain for Cryptosporidium spp. and I. belli. 
The species-specific prevalence among HIV positives in China was as follows: 3.6% for hookworm, 0.7% for Trichuris trichiura, 0% for Ascaris lumbricoides, 0.3% for Clonorchis sinensis, 1.3% for Giardia intestinalis, 16.2% for Blastocystis hominis, 1.7% for Entamoeba spp. and 8.3% for Cryptosporidium spp. 
Cryptosporidium (4.9%), Cyclospora cayetanensis (4.5%) and Giardia duodenalis (1.9%) were the most frequent single infections in Indonesia, but Blastocystis hominis (72.4%) was the most commonly occurring protist. 
The prevalence of intestinal parasitic infections in HIV patients is high in Chennai, India, especially at CD4 <1000/μL, with I. belli infection being the most common. 
The results showed that the infection with Cryptosporidium in AIDS patients had the highest prevalence (9.4%) related to parasites identified among HIV-infected individuals in Iran. 
There is a high burden of infection with Cryptosporidium spp. among HIV-infected individuals in southern Ethiopia, but that of I. belli is low. 
Parasites identified in Kenya were Entamoeba histolytica/dispar (58.3%), Giardia lamblia (16.6%), Ascaris lumbricoides (8.6%), Entamoeba coli (5.9%), Taenia saginata (5.3%), Trichuris trichuria (1.9%), Enterobius vermicularis (1.9%) and hookworm (1.3%). 
In Cameroon, the most frequent pathogens were Candida spp. (14.9%), Cryptosporidium spp. (7.5%), Entamoeba histolytica and Entamoeba dispar (3%). 
| References|| |
Iroezindu MO, Agaba EI, Okeke EN, Daniyam CA, Obaseki DO, Isa SE, et al
. Prevalence of malaria parasitaemia in adult HIV-infected patients in Jos, North-central Nigeria. Niger J Med 2012;21:209-13.
Shimelis T, Tadesse E. Performance evaluation of point-of-care test for detection of Cryptosporidium stool antigen in children and HIV infected adults. Parasit Vectors 2014;7:227.
Tian LG, Chen JX, Wang TP, Cheng GJ, Steinmann P, Wang FF, et al
. Co-infection of HIV and intestinal parasites in rural area of China. Parasit Vectors 2012;5:36.
Kurniawan A, Karyadi T, Dwintasari SW, Sari IP, Yunihastuti E, Djauzi S, et al
. Intestinal parasitic infections in HIV/AIDS patients presenting with diarrhoea in Jakarta, Indonesia. Trans R Soc Trop Med Hyg 2009;103:892-8.
Janagond AB, Sasikala G, Agatha D, Ravinder T, Thenmozhivalli PR. Enteric Parasitic Infections in Relation to Diarrhoea in HIV Infected Individuals with CD4 T Cell Counts <1000 Cells/μl in Chennai, India. J Clin Diagn Res 2013;7:2160-2.
Daryani A, Sharif M, Meigouni M, Mahmoudi FB, Rafiei A, Gholami SH, et al
. Prevalence of intestinal parasites and profile of CD4+ counts in HIV+/AIDS people in north of Iran, 2007-2008. Pak J Biol Sci 2009;12:1277-81.
Girma M, Teshome W, Petros B, Endeshaw T. Cryptosporidiosis and Isosporiasis among HIV-positive individuals in south Ethiopia: A cross sectional study. BMC Infect Dis 2014; 14:100.
Kipyegen CK, Shivairo RS, Odhiambo RO. Prevalence of intestinal parasites among HIV patients in Baringo, Kenya. Pan Afr Med J 2012;13:37.
Lehman LG, Kangam L, Mbenoun ML, Zemo Nguepi E, Essomba N, Tonga C, et al
. Intestinal parasitic and candida infection associated with HIV infection in Cameroon. J Infect Dev Ctries 2013;7:137-43.