The protozoon Blastocystis hominis may cause episodes of diarrhoea with abdominal pain, tenesmus, fever and eosinophilia. We have observed 5 cases of blastocystosis in male subjects with symptomatic HIV infection. All patients had a complete response to metronidazole. This report confirms that Blastocystis hominis may be responsible for HIV-related diarrhoea.
BrumptE.Blastocystis hominis, n. species et formes voisines. Bull Soc Path Exot1912;5:725–30.
2.
PhilipsBPZierdtCH.Blastocystis hominis: pathogenic potential in human patients and in gnotobiotes. Exp Parasitol1976;39:358–64.
3.
RicciNTomaPFurlaniMCaselliMGulliniS.Blastocystis hominis: a neglected cause of diarrhoea?Lancet1984;i:966.
4.
SheehanDJRaucherBGMcKitrickJC.Association of Blastocystis hominis with signs and symptoms of human disease. J Clin Microbiol1986;24:548–50.
5.
VannattaJBAdamsonDMullicanK.Blastocystis hominis infection presenting as recurrent diarrhoea. Ann Intern Med1985;102:495–6.
6.
HenryMCDe ClercqDLokombeBParasitological observations of chronic diarrhoea in suspected AIDS adult patients in Kinshasa (Zaire). Trans R Soc Trop Med Hyg1986;80:309–10.
7.
CauseyDMEppolitoLJLeedomJM.Blastocystis hominis diarrhoea in two HIV-infected patients. Proceedings of the IV International Conference on AIDS. Stockholm, 1988;408.
8.
LlibreJMTorJManterolaJMCarbonellCFozM.Blastocystis hominis chronic diarrhoea in AIDS patients. Lancet1989;i:221.
9.
NarkewiczMRJanoffENSokolRJLevinMJ.Blastocystis hominis gastroenteritis in a hemophiliac with acquired immune deficiency syndrome. J Pediatr Gastroenterol Nutr1989;8:125–8.
10.
RolstonKRodriguezS.Blastocystis hominis infection in AIDS patients. Proceedings of the V International Conference on AIDS. Montreal, 1989;358.
11.
MorrisSKShaunakSEstevezEGBartlettJAWaskinH.Acute diarrhoea in HIV-positive patients associated with B. hominis. Proceedings of the V International Conference on AIDS. Montreal, 1989;261.
12.
SanusiSOlopoeniaLGrigsbyMBarnesSAfessaBFrederickW.Endolimax nana and Blastocystis hominis in HIV-1 seropositive patients. Proceedings of the V International Conference on AIDS. Montreal, 1989;261.
