Edward N. Janoff, MD; Catherine Limas, MD; Roger L. Gebhard, MD; Kent A. Penley, BS
To the Editor: Although cryptosporidial infections may cause severe, prolonged, and occasionally fatal diarrheal disease in persons with the acquired immunodeficiency syndrome (AIDS) (1, 2), asymptomatic carriage of the organism is underappreciated (3). We recently saw a patient for whom awareness of that possibility resulted in a dramatically improved clinical outcome.
A 34-year-old man was diagnosed with AIDS and cryptosporidial infection in January 1987 when he developed severe diarrhea for more than 1 month. Symptoms resolved spontaneously until 18 months later when he was hospitalized with 2 months of progressive anorexia, intermittent watery diarrhea and abdominal pain, fever, and a
Janoff EN, Limas C, Gebhard RL, Penley KA. Cryptosporidial Carriage without Symptoms in the Acquired Immunodeficiency Syndrome (AIDS). Ann Intern Med. ;112:75–76. doi: 10.7326/0003-4819-112-1-75
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Published: Ann Intern Med. 1990;112(1):75-76.
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