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Cyclosporiasis associated with diarrhoea in an immunocompetent patient in Turkey
Meral Türk1, Metin Türker1, Mucide Ak1
1Department of Microbiology, State Hospital, Izmir, Turkey 2Department of Parasitology, Medical Faculty, Ege University, Bornova, 35100, Izmir, Turkey.
Insights
Cyclospora cayetanensis causes diarrhea in immunocompetent and immunocompromised individuals. This case highlights the first instance of local Cyclospora infection in an immunocompetent person in Turkey.
Area of Science:
- Infectious Diseases
- Parasitology
- Gastroenterology
Background:
- Cyclospora cayetanensis is an emerging protozoan parasite causing diarrhea globally.
- Cyclosporiasis affects both immunocompetent and immunocompromised individuals, including those with AIDS.
- Autochthonous cases, or those originating locally, are crucial for understanding disease epidemiology.
Observation:
- A 30-year-old Turkish woman presented with a week of watery diarrhea, anorexia, nausea, vomiting, abdominal pain, and weight loss.
- Diagnosis was confirmed by identifying Cyclospora sp. oocysts using modified Kinyoun's acid-fast stain.
- The patient was an immunocompetent lawyer, indicating no underlying immune deficiency.
Findings:
- The patient received treatment with trimethoprim/sulfamethoxazole (160/800 mg) twice daily for 7 days.
- The treatment regimen effectively resolved the symptoms of cyclosporiasis.
- This case represents the first documented instance of autochthonous cyclosporiasis in an immunocompetent patient in Turkey.
Implications:
- This finding expands the known geographical distribution and clinical presentation of cyclosporiasis.
- It underscores the importance of considering Cyclospora in the differential diagnosis of unexplained diarrhea in immunocompetent individuals.
- Further surveillance and research are needed to understand the transmission dynamics of Cyclospora in Turkey.
Abstract:
Cyclospora cayetanensis, the parasitic agent responsible for human cyclosporiasis, is an emerging worldwide cause of diarrhoea in immunocompetent people as well as in immunocompromised patients, such as those with AIDS. Reported here is the case of a 30-year-old Turkish woman, a lawyer, who was admitted to hospital in July 2002 with complaints of watery diarrhoea, anorexia, nausea, vomiting, abdominal pain and weight loss over a period of 1 week. Cyclospora sp. oocysts were determined by using modified Kinyoun's acid-fast stain. The patient was treated with trimethoprim/sulfamethoxazole (160/800 mg) b.i.d. for 7 days. This report is the first example of autochthonous cyclosporiasis in an immunocompetent patient in Turkey.
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