PIERRE FORGACS, M.D.; ALAN TARSHIS, M.D.; PEARL MA, Ph.D.; MICHELINE FEDERMAN, Ph.D.; LINDA MELE, M.S.; MARK L. SILVERMAN, M.D.; JOHN A. SHEA, M.D.
Recent reports have implicated Isospora belli and Cryptosporidium species, similar coccidial protozoa, as the cause of considerable diarrhea and malabsorption in immunosuppressed persons. We report a case of chronic diarrhea and malabsorption in a homosexual man in whom both I. belli and Cryptosporidium species were found in small bowel aspirates and intestinal biopsy specimens. A chronic cough subsequently developed, and Cryptosporidium species was found in respiratory secretions and on the mucosal surface of a bronchial biopsy sample.
A 42-year-old homosexual man with a 10-month history of profuse diarrhea was seen at the Lahey Clinic in May 1982. The patient was
FORGACS P, TARSHIS A, MA P, FEDERMAN M, MELE L, SILVERMAN ML, et al. Intestinal and Bronchial Cryptosporidiosis in an Immunodeficient Homosexual Man. Ann Intern Med. ;99:793–794. doi: 10.7326/0003-4819-99-6-793
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Published: Ann Intern Med. 1983;99(6):793-794.
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