Invasive amoebiasis in two patients with AIDS and cytomegalovirus colitis

Homosexual persons or human immunodeficiency virus (HIV)-infected patients frequently excrete cysts of nonpathogenic strains of Entamoeba histolytica ("Entamoeba dispar"). However, invasive amoebiasis is rare. We report two patients with AIDS and cytomegalovirus colitis in whom invasive amoebiasis was histologically diagnosed. It is concluded that E. histolytica has to be considered in HIV-infected patients with colitis.

[1]  E. Pozio,et al.  Opportunistic and non-opportunistic parasites in HIV-positive and negative patients with diarrhoea in Tanzania. , 1995, Tropical medicine and parasitology : official organ of Deutsche Tropenmedizinische Gesellschaft and of Deutsche Gesellschaft fur Technische Zusammenarbeit.

[2]  E. Okuzawa,et al.  Symptomatic amebic colitis in a Japanese homosexual AIDS patient. , 1994, Internal medicine.

[3]  C. Clark,et al.  A Redescription of Entamoeba Histolytica Schaudinn, 1903 (Emended Walker, 1911) Separating It From Entamoeba Dispar Brumpt, 1925 1 , 1993, The Journal of eukaryotic microbiology.

[4]  B. Gazzard,et al.  Invasive amoebic colitis in AIDS patients. , 1992, AIDS.

[5]  J. Jessurun,et al.  The prevalence of invasive amebiasis is not increased in patients with AIDS (SHORT COMMUNICATION) , 1992, AIDS.

[6]  J. Teare,et al.  Ulcerative colitis developing after amoebic dysentery in a haemophiliac patient with AIDS. , 1992, Gut.

[7]  H. Tanowitz,et al.  Medical management of AIDS patients. Gastrointestinal manifestations. , 1992, The Medical clinics of North America.

[8]  John Walker,et al.  Factors Associated with the Detection of Entamoeba Histolytica in Homosexual Men , 1991, International journal of STD & AIDS.

[9]  R. Guerrant,et al.  Bacterial and protozoal gastroenteritis. , 1991, The New England journal of medicine.

[10]  S. Reed,et al.  Entamoeba histolytica infection and AIDS. , 1991, The American journal of medicine.

[11]  S. Lucas.  Missing infections in AIDS. , 1990, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[12]  A. Mindel,et al.  Outcome of untreated infection with Entamoeba histolytica in homosexual men with and without HIV antibody. , 1988, BMJ.

[13]  P. Stanley.  Amoebic liver abscess in a bisexual man. , 1988, The Journal of infection.

[14]  A. Fauci,et al.  Intestinal infections in patients with the acquired immunodeficiency syndrome (AIDS). Etiology and response to therapy. , 1988, Annals of internal medicine.

[15]  Revision of the CDC surveillance case definition for acquired immunodeficiency syndrome. Council of State and Territorial Epidemiologists; AIDS Program, Center for Infectious Diseases. , 1987, MMWR supplements.

[16]  A. Mindel,et al.  Entamoeba histolytica as a commensal intestinal parasite in homosexual men. , 1986, The New England journal of medicine.

[17]  M. Hall-Craggs,et al.  Fulminant amebic colitis in a homosexual man. , 1986, The American journal of gastroenterology.