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Original Article

Spatiotemporal Clusters and Trends of Pneumocystis Pneumonia in Korea
Hwa Sun Kim, Ho-Woo Nam, Hye-Jin Ahn, Sang Haak Lee, Yeong Hoon Kim
Korean J Parasitol 2022;60(5):327-338.
Published online October 21, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.5.327
This study determined the recent status and trend of Pneumocystis jirovecii pneumonia (PcP) in the non-human immunodeficiency virus (HIV) (non-HIV-PcP) and HIV (HIV-PcP) infected populations using data from the Health Insurance Review & Assessment Service (HIRA) and the Korea Disease Control and Prevention Agency (KDCA). SaTScan and Joinpoint were used for statistical analyses. Non-HIV-PcP cases showed an upward trend during the study period from 2010 to 2021, with the largest number in 2021 (551 cases). The upward trend was similar until 2020 after adjusting for the population. Seoul had the highest number of cases (1,597) in the non-HIV-PcP group, which was the same after adjusting for the population (162 cases/1,000,000). It was followed by Jeju-do (89 cases/1,000,000). The most likely cluster (MLC) for the non-HIV-PCP group was Seoul (Relative Risk (RR)=4.59, Log Likelihood Ratio (LLR)=825.531), followed by Jeju-do (RR=1.59, LLR=5.431). An upward trend was observed among the non-HIV-PcP group in the Jeju-do/Jeollanam-do/Jeollabuk-do/Gyeongsangnam-do/Busan/Daejeon/Daegu/Ulsan joint cluster (29.02%, LLR=11.638, P<0.001) located in the southern part of Korea. Both women and men in the non-HIV groups showed an overall upward trend of PcP during the study period. Men in the 60-69 age group had the highest annual percentage change (APC 41.8) during 2014-2019. In contrast, the HIV groups showed a falling trend of PcP recently. Men in the 60-69 age group had the most decrease (APC -17.6) during 2018-2021. This study provides an analytic basis for health measures and a nationwide epidemiological surveillance system for the management of PcP.

Citations

Citations to this article as recorded by  Crossref logo
  • Pneumonia incidence and determinants in South Punjab, Pakistan (2016–2020): a spatial epidemiological study at Tehsil-level
    Ömer Ünsal, Oliver Gruebner, Munazza Fatima
    International Journal of Health Geographics.2025;[Epub]     CrossRef
  • 4,157 View
  • 111 Download
  • 1 Web of Science
  • Crossref

Case Report

The First Acanthamoeba keratitis Case of Non-Contact Lens Wearer with HIV Infection in Thailand
Napaporn Tananuvat, Natnaree Techajongjintana, Pradya Somboon, Anchalee Wannasan
Korean J Parasitol 2019;57(5):505-511.
Published online October 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.5.505
Acanthamoeba keratitis (AK) is a rare sight-threatening corneal infection, often reporting from contact lens wearers. An asymptomatic human immunodeficiency virus (HIV)-infected Thai male without history of contact lens use complained foreign body sensation at his left eye during motorbike riding. He had neither specific keratitis symptoms nor common drugs responding, which contributed to delayed diagnosis. By corneal re-scraping, Acanthamoeba-like cysts were detected by calcofluor white staining and agar culture. The etiological agent obtained from the culture was molecularly confirmed by Acanthamoeba spp.-specific PCR, followed by DNA sequencing. The results from BLAST and phylogenetic analysis based on the DNA sequences, revealed that the pathogen was Acanthamoeba T4, the major genotype most frequently reported from clinical isolates. The infection was successfully treated with polyhexamethylene biguanide resulting in corneal scar. This appears the first reported AK case from a non-contact lens wearer with HIV infection in Thailand. Although AK is sporadic in developing countries, a role of free-living Acanthamoeba as an opportunistic pathogen should not be neglected. The report would increase awareness of AK, especially in the case presenting unspecific keratitis symptoms without clinical response to empirical antimicrobial therapy.

Citations

Citations to this article as recorded by  Crossref logo
  • Detection of Free-Living Amoeba in a tertiary care hospital
    Nairita Choudhuri, Bhaskar Narayan Chaudhuri, Partha Guchhait, Arup Kumar Dawn, Satadal Das
    Microbiologia Medica.2024;[Epub]     CrossRef
  • Diagnosis of Acanthamoeba Keratitis: Past, Present and Future
    Matthew Azzopardi, Yu Jeat Chong, Benjamin Ng, Alberto Recchioni, Abison Logeswaran, Darren S. J. Ting
    Diagnostics.2023; 13(16): 2655.     CrossRef
  • New Frontiers in Acanthamoeba Keratitis Diagnosis and Management
    Omar Shareef, Sana Shareef, Hajirah N. Saeed
    Biology.2023; 12(12): 1489.     CrossRef
  • Isolation and identification of potentially pathogenic free-living amoeba in drinking, surface, and stagnant water sources from Alborz Province, Iran
    Ehsan Javanmard, Maryam Niyyati, Ali Taghipour, Marziye Fatemi, Hamed Mirjalali, Panagiotis Karanis
    Journal of Water and Health.2022; 20(4): 620.     CrossRef
  • Isolation and identification of potentially pathogenic free-living amoeba in dental-unit water samples
    Hadi Khatoonaki, Kavous Solhjoo, Hassan Rezanezhad, Belal Armand, Amir Abdoli, Ali Taghipour
    Journal of Water and Health.2022; 20(7): 1126.     CrossRef
  • Detection of Acanthamoeba from Acanthamoeba Keratitis Mouse Model Using Acanthamoeba-Specific Antibodies
    Min-Jeong Kim, A-Jeong Ham, A-Young Park, Hae-Jin Sohn, Ho-Joon Shin, Fu-Shi Quan, Hyun-Hee Kong, Eun-Kyung Moon
    Microorganisms.2022; 10(9): 1711.     CrossRef
  • RETRACTED ARTICLE: Establishment of an Acanthamoeba keratitis mouse model confirmed by amoebic DNA amplification
    Heekyoung Kang, Hae-Jin Sohn, A-Young Park, A-Jeong Ham, Jeong-Heon Lee, Young-Hwan Oh, Yong-Joon Chwae, Kyongmin Kim, Sun Park, Hongseok Yang, Suk-Yul Jung, Jong-Hyun Kim, Ho-Joon Shin
    Scientific Reports.2021;[Epub]     CrossRef
  • Genotype distribution of Acanthamoeba in keratitis: a systematic review
    Maria Luisa Nunes Diehl, Júlia Paes, Marilise Brittes Rott
    Parasitology Research.2021; 120(9): 3051.     CrossRef
  • Explicating the presentations of Acanthamoeba keratitis with special concern in the COVID-19 pandemic ambient
    Chukwuma Sr Chrysanthus
    International Journal of Clinical Microbiology and Biochemical Technology.2021; 4(1): 010.     CrossRef
  • Effectiveness and Safety of Topical Chlorhexidine and Vitamin E TPGS in the Treatment of Acanthamoeba Keratitis: A Survey on 29 Cases
    Ciro Caruso, Daniela Eletto, Michele Rinaldi, Luigi Pacente, Salvatore Troisi, Francesco Semeraro, Roberto dell’Omo, Ciro Costagliola
    Journal of Clinical Medicine.2020; 9(11): 3775.     CrossRef
  • 18,884 View
  • 132 Download
  • 9 Web of Science
  • Crossref

Brief Communications

Seroprevalence of Toxoplasma gondii among HIV Patients in Jahrom, Southern Iran
Hassan Rezanezhad, Fateme Sayadi, Enayatollah Shadmand, Seyed Dawood Mousavi Nasab, Hadi Rezaei Yazdi, Kavous Solhjoo, Akbar Kazemi, Monireh Maleki, Abbas Ahmadi Vasmehjani
Korean J Parasitol 2017;55(1):99-103.
Published online February 28, 2017
DOI: https://doi.org/10.3347/kjp.2017.55.1.99
Toxoplasma gondii is an important opportunistic agent especially in immunocompromised hosts and can cause significant morbidity and mortality. Hence, detection and monitoring of anti-Toxoplasma antibodies are of a great interest in HIV-infected patients. A study on the prevalence of toxoplasmosis and associated risk factors was carried out among HIV-infected patients in Jahrom, southern Iran. The prevalence of anti-Toxoplasma IgG antibodies was 21.1% in HIV-infected patients by ELISA. PCR was performed on all of the samples, and 1 of the blood samples was positively detected. Among the HIV patients, anti-Toxoplasma IgG antibodies were significantly higher in age group of 30-39 years old (P=0.05). The seroprevalence of toxoplasmosis in patients with CD4+<100 cells/μl was 33.3% that was significantly higher than the other groups (P=0.042) with or without IgG antibodies. The CD4+ count mean of seropositive patients was lower than that of seronegative patients. The seroprevalence of toxoplasmosis in patients with highly active antiretroviral therapy was significantly less than patients without therapy (P=0.02). In conclusion, this study showed low seroprevalence of latent toxoplasmosis among HIV-infected patients in the region and confirmed the need for intensifying prevention efforts among this high-risk population and also the risk of toxoplasmosis reactivation which could be important among this population.

Citations

Citations to this article as recorded by  Crossref logo
  • The Global Prevalence of and Factors Associated with Parasitic Coinfection in People Living with Viruses: A Systematic Review and Meta-Analysis
    Yan Ge, Huaman Liu, Ningjun Ren, Abdul Qadeer, Ian Kim B. Tabios, Ian Kendrich C. Fontanilla, Lydia R. Leonardo, Banchob Sripa, Guofeng Cheng
    Pathogens.2025; 14(6): 534.     CrossRef
  • Association of polymorphism of IL‐17A, IL‐17F, and IL‐6 with Toxoplasma gondii infection susceptibility in HIV/AIDS patients in Shiraz, southern Iran
    Maryam Nejabat, Mohammadreza Heydari, Mohammad Motamedifar, Zohre Foroozanfar, Saeid Amirizadeh Fard, Ava Hashempour, Nazani Nazari, Esmaeil Rezaei, Zahra Heydari
    Immunity, Inflammation and Disease.2024;[Epub]     CrossRef
  • RPA-CRISPR/Cas9-based method for the detection of Toxoplasma gondii: A proof of concept
    Mengchen Wu, Haiyan Wu, Xueqiu Chen, Fei Wu, Guangxu Ma, Aifang Du, Yi Yang
    Veterinary Parasitology.2024; 327: 110115.     CrossRef
  • Toxoplasma gondii, HBV, and HCV co‐infection and their correlation with CD4 cells among Iranian HIV‐positive patients
    Ahmadreza Bazmjoo, Mohammad Aref Bagherzadeh, Rahim Raoofi, Ali Taghipour, Samaneh Mazaherifar, Hojatallah Sotoodeh, Zahra Ostadi, Enayat Shadmand, Mirza Ali Mofazzal Jahromi, Amir Abdoli
    Immunity, Inflammation and Disease.2023;[Epub]     CrossRef
  • Prevalence of Toxoplasma gondii in HIV-Infected Individuals in Iran: A Systematic Review and Meta-Analysis
    Pegah Shakib, Masoud Behzadifar, Hossein Mahmoudvand, Sara Larki, Hamed Kalani, Masoomeh Zivdari, Omid Mardanshah, Kourosh Cheraghipour
    Current HIV Research.2023; 21(4): 221.     CrossRef
  • Seroprevalence of Toxoplasma gondii in people at an increased risk of HIV infection – a pilot study
    Małgorzata Smoguła, Marta Pawłowska, Roland Wesołowski, Karolina Szewczyk-Golec, Celestyna Mila-Kierzenkowska
    Diagnostyka Laboratoryjna.2022; 58(1): 9.     CrossRef
  • Serological Evaluation of Toxoplasmosis and Related Risk Factors Among HIV+/AIDS Patients in Northern Iran
    Hasan Rafati-Sajedi, Bijan Majidi-Shad, Reza Jafari-Shakib, Zahra Atrkar-Roshan, Mohammad Reza Mahmoudi, Seyed Mahmood Rezvani
    Acta Parasitologica.2021; 66(4): 1417.     CrossRef
  • Investigating the risk factors for seroprevalence and the correlation between CD4+ T-cell count and humoral antibody responses to Toxoplasma gondii infection amongst HIV patients in the Bamenda Health District, Cameroon
    Eugene Enah Fang, Raymond Babila Nyasa, Emmanuel Menang Ndi, Denis Zofou, Tebit Emmanuel Kwenti, Edith Pafoule Lepezeu, Vincent P. K. Titanji, Roland N. Ndip, Mohammed Abdelfatah Mosa Alhoot
    PLOS ONE.2021; 16(12): e0256947.     CrossRef
  • The first report of the evaluation of the knowledge regarding toxoplasmosis among health professionals in public health centers in Rabat, Morocco
    Majda Laboudi, Sanaa Ait Hamou, Imane Mansour, Ilham Hilmi, Abderrahim Sadak
    Tropical Medicine and Health.2020;[Epub]     CrossRef
  • Toxoplasmosis Among HIV Patients and Healthy Volunteers in Port Harcourt, Rivers State, Nigeria
    Evelyn O Onosakponome, Austin E Abah, Michael Wogu
    International Journal of Infection.2020;[Epub]     CrossRef
  • Seroprevalence of Toxoplasma gondii in HIV-infected patients admitted to a university hospital
    Pinar ERGEN, Fatma YILMAZ-KARADAĞ, Özlem AYDIN
    Journal of Health Sciences and Medicine.2020; 3(4): 372.     CrossRef
  • Sero-molecular evaluation of Toxoplasma gondii infection among HIV-positive patients
    Ehsan Ahmadpour, Reza Pishkarie-Asl, Adel Spotin, Hossein Samadi Kafil, Hasan Didarlu, Yaghob Azadi, Aleksandra Barac
    Transactions of The Royal Society of Tropical Medicine and Hygiene.2019; 113(12): 771.     CrossRef
  • Toxoplasma gondii: The Prevalence and Risk Factors in HIV-Infected Patients in Fars Province, Southern Iran
    Nasir Arefkha, Bahador Sarkari, Masood Afrashteh, Zahra Rezaei, Mona Dehghani
    Iranian Red Crescent Medical Journal.2018;[Epub]     CrossRef
  • 9,909 View
  • 205 Download
  • 16 Web of Science
  • Crossref
Seroprevalence of Toxoplasma gondii Infection among HIV/AIDS Patients in Eastern China
Guoqiang Shen, Xiaoming Wang, Hui Sun, Yaying Gao
Korean J Parasitol 2016;54(1):93-96.
Published online February 26, 2016
DOI: https://doi.org/10.3347/kjp.2016.54.1.93
Toxoplasmosis, a neglected tropical disease caused by the protozoan parasite Toxoplasma gondii, occurs throughout the world. Human T. gondii infection is asymptomatic in 80% of the population; however, the infection is life-threatening and causes substantial neurologic damage in immunocompromised patients such as HIV-infected persons. The major purpose of this study was to investigate the seroprevalence of T. gondii infection in subjects infected with HIV/AIDS in eastern China. Our findings showed 9.7% prevalence of anti-T. gondii IgG antibody in HIV/AIDS patients, which was higher than in intravenous drug users (2.2%) and healthy controls (4.7%), while no significant difference was observed in the seroprevalence of anti-Toxoplasma IgM antibody among all participants (P>0.05). Among all HIV/AIDS patients, 15 men (7.7%) and 10 women (15.9%) were positive for anti-T. gondii IgG antibody; however, no significant difference was detected in the seroprevalence of anti-Toxoplasma IgG antibody between males and females. The frequency of anti-Toxoplasma IgG antibody was 8.0%, 13.2%, 5.5%, and 0% in patients with normal immune function (CD4+ T-lymphocyte count ≥500 cells/ml), immunocompromised patients (cell count ≥200 and <500 cells/ml), severely immunocompromised patients (cell count ≥50 and <200 cells/ml), and advanced AIDS patients, respectively (cell count <50 cells/ml), while only 3 immunocompromised patients were positive for anti-T. gondii IgM antibody. The results indicate a high seroprevalence of T. gondii infection in HIV/AIDS patients in eastern China, and a preventive therapy for toxoplasmosis may be given to HIV/AIDS patients based on CD4+ T lymphocyte count.

Citations

Citations to this article as recorded by  Crossref logo
  • The Global Prevalence of and Factors Associated with Parasitic Coinfection in People Living with Viruses: A Systematic Review and Meta-Analysis
    Yan Ge, Huaman Liu, Ningjun Ren, Abdul Qadeer, Ian Kim B. Tabios, Ian Kendrich C. Fontanilla, Lydia R. Leonardo, Banchob Sripa, Guofeng Cheng
    Pathogens.2025; 14(6): 534.     CrossRef
  • Seroprevalence and Risk Factors for Toxoplasma gondii Infection in People Living with HIV: A Cross-Sectional Study from Maputo Central Hospital, Mozambique
    Leonardo Manuel, Isac Comia, Regina Miambo, Irina Sousa, Nelson Cuboia, Awa Carimo, Sara Massuanganhe, Titos Buene, Lucas Banze, Belmiro Paraque, Noémia Nhancupe, Robert Schooley, Gabriela Santos-Gomes, Emília Noormahomed, Constance Benson
    Research and Reports in Tropical Medicine.2025; Volume 16: 43.     CrossRef
  • Impacto da imunossupressão pelo HIV na reativação da toxoplasmose: aspectos imunopatológicos, desafios diagnósticos e implicações clínicas
    Beatriz Ammar Roque, Fernanda Simoneto, Juliana Cogo
    RCMOS - Revista Científica Multidisciplinar O Saber.2025;[Epub]     CrossRef
  • Lactobacillus plantarum antimicrobial peptide Y8-2: A new strategy against Toxoplasma gondii
    Wenhui Guo, Jun Guo, Zixuan Wang, Pufang Liu, Jiashan Qin, Chao Duan, Xinyu Xue, Tieyun Chen, Xinlei Yan
    LWT.2024; 213: 117026.     CrossRef
  • Seroprevalencia y factores de riesgo de Toxoplasma gondii en Personas que Viven con VIH/Sida (PVVS) en el departamento de Cochabamba, Bolivia
    Bertha Alanoca, Tania Vargas Rivero, Gustavo Allende Larrain, Amílcar A. Flores Leon
    Gaceta Médica Boliviana.2023; 46(2): 62.     CrossRef
  • Seroprevalencia y factores de riesgo de Toxoplasma gondii en Personas que Viven con VIH/SIDA (PVVS) en el departamento de Cochabamba, Bolivia
    Amilcar Alejandro Flores Leon, Bertha Alanoca, Tania Vargas Rivero, Gustavo Allende Larrain
    Gaceta Médica Boliviana.2023; 46(2): 63.     CrossRef
  • Primary Toxoplasma gondii infection-associated with hemophagocytic syndrome in a man with HIV infection: a case report
    Ying Zhou, Yongfeng Liu, Ying Wen
    BMC Infectious Diseases.2022;[Epub]     CrossRef
  • Seronegative Infection with Toxoplasma gondii in Asymptomatic Human Immunodeficiency Virus Type 1 (HIV-1)-Infected Patients and in Blood Donors
    Agnieszka Pawełczyk, Małgorzata Bednarska, Kamila Caraballo Cortés, Marianna Glamkowska-Sady, Justyna Kowalska, Beata Uszyńska-Kałuża, Marek Radkowski, Renata Welc-Falęciak
    Journal of Clinical Medicine.2022; 11(3): 638.     CrossRef
  • Effect of some plant extracts from Egyptian herbal plants against Toxoplasma gondii tachyzoites in vitro
    Sara T. ELAZAB, Amal F. SOLIMAN, Yoshifumi NISHIKAWA
    Journal of Veterinary Medical Science.2021; 83(1): 100.     CrossRef
  • Molecular investigation of Toxoplasma gondii in oysters (Crassostrea spp.) sold on beaches in the State of Pará, Brazil
    Marcely Karen Santos do Rosário, Jacqueline Silva, Hugo Filipe Rodrigues Melo, Thamillys Rayssa Marques Monteiro, Davi Ribeiro da Costa, Alessandra Scofield, Carla Cristina Guimarães de Moraes
    Revista Brasileira de Parasitologia Veterinária.2021;[Epub]     CrossRef
  • Serological Evaluation of Toxoplasmosis and Related Risk Factors Among HIV+/AIDS Patients in Northern Iran
    Hasan Rafati-Sajedi, Bijan Majidi-Shad, Reza Jafari-Shakib, Zahra Atrkar-Roshan, Mohammad Reza Mahmoudi, Seyed Mahmood Rezvani
    Acta Parasitologica.2021; 66(4): 1417.     CrossRef
  • Determination of parasitic burden in the brain tissue of infected mice in acute toxoplasmosis after treatment by fluconazole combined with sulfadiazine and pyrimethamine
    Sekandarpour Sina, Jafari Modrek Mohammad, Shafiei Reza, Mohammadiha Anita, Etemadi Soudabeh, Mirahmadi Hadi
    European Journal of Medical Research.2021;[Epub]     CrossRef
  • Anti-Toxoplasmic Immunoglobulin G Quantitation Correlates with Immunovirological Parameters of HIV-Infected Cameroonians
    Aude Christelle Ka’e, Samuel Martin Sosso, Joseph Fokam, Rachel Kamgaing Simo, Sara Riwom Essama, Alex Durand Nka, Bouba Yagai, Cédric Joël Ninsu Dzukou, Michel Carlos Tommo Tchouaket, Collins Chenwi, Aissatou Abba, Nadine Fainguem, Marie Krystel Nnomo Za
    Current HIV Research.2021; 19(1): 73.     CrossRef
  • Seroprevalence and B1 gene Phylogeny of Toxoplasma gondii of Dogs and Cats in Republic of Korea
    Yeojin Park, Jinhyeong Noh, Hyun-Ji Seo, Keun-Ho Kim, Subin Min, Mi-Sun Yoo, Bo-Ram Yun, Jong-Ho Kim, Eun-Jin Choi, Doo-Sung Cheon, Sung-Jong Hong, Soon-Seek Yoon, Yun Sang Cho
    The Korean Journal of Parasitology.2020; 58(3): 257.     CrossRef
  • Seroprevalence of Toxoplasma gondii in HIV-infected patients admitted to a university hospital
    Pinar ERGEN, Fatma YILMAZ-KARADAĞ, Özlem AYDIN
    Journal of Health Sciences and Medicine.2020; 3(4): 372.     CrossRef
  • A Large-Scale Serological Survey of Toxoplasma gondii Infection Among Persons Participated in Health Screening in Yunnan Province, Southwestern China
    Zhao Li, Chun-Yi Sun, Ren-Dan Yang, Chang-Jun Xu, Mei-Chen Chen, Yun-Jiang Zhang, Wei Cong, Xing-Quan Zhu, Yang Liu, Feng-Cai Zou
    Vector-Borne and Zoonotic Diseases.2019; 19(6): 441.     CrossRef
  • Prevalence and burden of Toxoplasma gondii infection in HIV-infected people: a systematic review and meta-analysis
    Ze-Dong Wang, Shu-Chao Wang, Huan-Huan Liu, Hong-Yu Ma, Zhong-Yu Li, Feng Wei, Xing-Quan Zhu, Quan Liu
    The Lancet HIV.2017; 4(4): e177.     CrossRef
  • Toxoplasma gondii Infection in Immunocompromised Patients: A Systematic Review and Meta-Analysis
    Ze-Dong Wang, Huan-Huan Liu, Zhan-Xi Ma, Hong-Yu Ma, Zhong-Yu Li, Zhi-Bin Yang, Xing-Quan Zhu, Bin Xu, Feng Wei, Quan Liu
    Frontiers in Microbiology.2017;[Epub]     CrossRef
  • Evaluation of potential anti-toxoplasmosis efficiency of combined traditional herbs in a mouse model
    Xun-hui Zhuo, Hong-chao Sun, Bin Huang, Hai-jie Yu, Ying Shan, Ai-fang Du
    Journal of Zhejiang University-SCIENCE B.2017; 18(6): 453.     CrossRef
  • A Human Proteome Array Approach to Identifying Key Host Proteins Targeted by Toxoplasma Kinase ROP18
    Zhaoshou Yang, Yongheng Hou, Taofang Hao, Hee-Sool Rho, Jun Wan, Yizhao Luan, Xin Gao, Jianping Yao, Aihua Pan, Zhi Xie, Jiang Qian, Wanqin Liao, Heng Zhu, Xingwang Zhou
    Molecular & Cellular Proteomics.2017; 16(3): 469.     CrossRef
  • Elevated seroprevalence of Toxoplasma gondii in AIDS/HIV patients: A meta-analysis
    Lei Liu, Li-Na Liu, Peng Wang, Tian-Tian Lv, Yin-Guang Fan, Hai-Feng Pan
    Acta Tropica.2017; 176: 162.     CrossRef
  • 12,102 View
  • 151 Download
  • 19 Web of Science
  • Crossref
Original Articles
Intestinal Parasitosis in Relation to Anti-Retroviral Therapy, CD4+ T-cell Count and Diarrhea in HIV Patients
Shehla Khalil, Bijay Ranjan Mirdha, Sanjeev Sinha, Ashutosh Panda, Yogita Singh, Anju Joseph, Manorama Deb
Korean J Parasitol 2015;53(6):705-712.
Published online December 31, 2015
DOI: https://doi.org/10.3347/kjp.2015.53.6.705
Intestinal parasitic infections are one of the major causes of diarrhea in human immunodeficiency virus (HIV) seropositive individuals. Antiretroviral therapy has markedly reduced the incidence of many opportunistic infections, but parasite-related diarrhea still remains frequent and often underestimated especially in developing countries. The present hospital-based study was conducted to determine the spectrum of intestinal parasitosis in adult HIV/AIDS (acquired immunodeficiency syndrome) patients with or without diarrhea with the levels of CD4+ T-cell counts. A total of 400 individuals were enrolled and were screened for intestinal parasitosis. Of these study population, 200 were HIV seropositives, and the remaining 200 were HIV uninfected individuals with or without diarrhea. Intestinal parasites were identified by using microscopy as well as PCR assay. A total of 130 (32.5%) out of 400 patients were positive for any kinds of intestinal parasites. The cumulative number of parasite positive patients was 152 due to multiple infections. A significant association of Cryptosporidium (P<0.001) was detected among individuals with CD4+ T-cell counts less than 200 cells/μl.

Citations

Citations to this article as recorded by  Crossref logo
  • The Global Prevalence of and Factors Associated with Parasitic Coinfection in People Living with Viruses: A Systematic Review and Meta-Analysis
    Yan Ge, Huaman Liu, Ningjun Ren, Abdul Qadeer, Ian Kim B. Tabios, Ian Kendrich C. Fontanilla, Lydia R. Leonardo, Banchob Sripa, Guofeng Cheng
    Pathogens.2025; 14(6): 534.     CrossRef
  • Unveiling the hidden threat: prevalence of Enterocytozoon bieneusi and other intestinal parasitic infections among organ transplant recipients in Southern Iran
    Mohammad Hossein Motazedian, Leila Morabi, Shahrokh Ezzatzadegan Jahromi, Mojtaba Shafiekhani, Saeed Shahabi, Hamed Nikoupour Dailami, Siavash Gholami, Bahador Sarkari
    Gut Pathogens.2025;[Epub]     CrossRef
  • Worldwide Epidemiology of Cyclospora cayetanensis in HIV/AIDS Patients: A Systematic Review and Meta-Analysis
    Farzad Mahdavi, Ali Pouryousef, Mohammad Reza Mohammadi, Kambiz Karimi, Asma Mousivand, Farajolah Maleki, Ali Asghari, Mina Mamizadeh
    Acta Parasitologica.2025;[Epub]     CrossRef
  • Prevalence, Antibiotic Susceptibility Pattern, and Associated Factors of Enteric Bacterial Pathogens Among HIV Infected Patients with Diarrhea Attending the ART Clinic of Dilla University Referral Hospital, Southern Ethiopia
    Asaye Mitiku, Zerihin Solomon, Berhanu Gidisa, Kasie Gebeyhu, Haymanot Tewabe, Demissew Shenkute, Melkayehu Kassa, Addisu Gize
    Infection and Drug Resistance.2023; Volume 16: 4227.     CrossRef
  • Worldwide prevalence of emerging parasite Blastocystis in immunocompromised patients: A systematic review and meta-analysis
    Zohreh Khorshidvand, Salman Khazaei, MohamadReza Amiri, Heshmatollah Taherkhani, Asad Mirzaei
    Microbial Pathogenesis.2021; 152: 104615.     CrossRef
  • Prevalence of Intestinal Coccidiosis Among Patients Living with the Human Immunodeficiency Virus in Abidjan (Côte d'Ivoire)
    N&#;Docho Assi Fiacr, Tuo Karim, N&#;Guessan Tiacoh Lan, Kassi Kondo Fulg, Koffi Attoungbr&eacu Clé, Fofana Mamery, Kouamé Amani Casi, Messou Kouassi Eu, Assoua Messou Ani, Bialé Marina Datcho-Gou, Kragbé Daugbley G, N&#;Guetta Essan Jean, Oyebi Mukayila,
    Research Journal of Parasitology.2021; 16(1): 9.     CrossRef
  • Association between Blastocystis sp. infection and immunocompromised patients: a systematic review and meta-analysis
    Ali Asghari, Zeinab Sadeghipour, Soheil Hassanipour, Zahra Abbasali, Hasan Ebrahimzadeh-Parikhani, Masoud Hashemzaei, Vahid Alimardani, Gholamreza Hatam
    Environmental Science and Pollution Research.2021; 28(43): 60308.     CrossRef
  • Global prevalence and associated risk factors of diarrheagenic Giardia duodenalis in HIV/AIDS patients: A systematic review and meta-analysis
    Farzad Mahdavi, Morteza Shams, Alireza Sadrebazzaz, Laya Shamsi, Mostafa Omidian, Ali Asghari, Soheil Hassanipour, Amir Masoud Salemi
    Microbial Pathogenesis.2021; 160: 105202.     CrossRef
  • The Coexistence of Blastocystis spp. in Humans, Animals and Environmental Sources from 2010–2021 in Asia
    Adedolapo Aminat Rauff-Adedotun, Farah Haziqah Meor Termizi, Nurshafarina Shaari, Ii Li Lee
    Biology.2021; 10(10): 990.     CrossRef
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Antibody Responses to Cryptosporidium Antigen in HIV-positive Patients in the Republic of Korea
Sang-Mee Guk, Jong-Yil Chai, Yung-Oh Shin, Min Seo
Korean J Parasitol 2008;46(2):71-75.
Published online June 20, 2008
DOI: https://doi.org/10.3347/kjp.2008.46.2.71

The diagnosis of cryptosporidiosis has been carried out using coprologic techniques in the Republic of Korea. However, antibody responses to Cryptosporidium have rarely been studied. Serum antibodies from HIV-positive/oocyst-positive Korean patients recognized significantly 31 and 27 kDa antigens, and HIV-negative/oocyst-positive individuals clearly reacted to 15/17 kDa antigens. Compared with oocyst-positive cases, 18.7% and 75.8% of sera from HIV-positive patients reacted to 31 and 27 kDa antigens. Only 11.1% of HIV-negative individuals reacted to 15/17 kDa. Based on these findings, serum antibody responses were different between HIV-positive and HIV-negative individuals infected with Cryptosporidium, and it is suggested that HIV-positive patients are more frequently exposed to C. parvum compared to HIV-negative individuals.

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Parasitic infections in HIV-infected patients who visited Seoul National University Hospital during the period 1995-2003
Sang-Mee Guk, Min Seo, Yun-Kyu Park, Myoung-Don Oh, Kang-Won Choe, Jae-Lip Kim, Min-Ho Choi, Sung-Tae Hong, Jong-Yil Chai
Korean J Parasitol 2005;43(1):1-5.
Published online March 20, 2005
DOI: https://doi.org/10.3347/kjp.2005.43.1.1

The prevalence of parasitic infections was investigated in human immunodeficiency virus (HIV)-infected patients (n = 105) who visited Seoul National University Hospital, Seoul, Korea, during the period from 1995 to 2003. Fecal samples were collected from 67 patients for intestinal parasite examinations, and sputum or bronchoalveolar lavage samples from 60 patients for examination of Pneumocystis carinii. Both samples were obtained from 22 patients. Thirty-three (31.4%) of the 105 were found to have parasitic infections; Cryptosporidium parvum (10.5%; 7/67), Isospora belli (7.5%; 5/67), Clonorchis sinensis (3.0%; 2/67), Giardia lamblia (1.5%; 1/67), Gymnophalloides seoi (1.5%; 1/67), and Pneumocystis carinii (28.3%; 17/60). The hospital records of the 11 intestinal parasite-infected patients showed that all suffered from diarrhea. This study shows that parasitic infections are important clinical complications in HIV-infected patients in the Republic of Korea.

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