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A Report Case of Cyclospora and Cryptosporidium Mixed Infection in a HIV-Negative Child in Thailand

KULKANYA CHOKEPHAIBULKIT, M.D.*, DARAWAN WANACHIWANAWIN,M.D.**, KANOKPORN TOSASUK, M.D.*, NIRUN VANPRAPA,M.D.*, SANAY CHEARSKUL, M.D.*,

Affiliation : * Department of Pediatrics, ** Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

Abstract
The first case of cyclosporosis in a non HIV-infected child in Thailand, co-infected with Cryptosporidium, was reported. The patient was a 3 year-old malnourished orphan who presented with fever, abdominal distension and relapsing diarrhea. There was no leukocyte in her stool, however, numerous Cyclospora and Cryptosporidium oocysts were identified by modified acid-fast staining. The illness was cured by co-trimoxazole and fluid therapy. More coccidial infections in Thailand may be detected if modified acid-fast staining is routinely performed.

Keywords : Cyclospora, Cryptosporidium, Relapsing Diarrhea


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