. Findings and Its Symptomatology among Immunocompromised Patients.

Open Access Maced J Med Sci

Department of Pharmacy, Academy of Pharmacy Yayasan Tenaga Pembangunan Arjuna, Pintubosi, Laguboti, Toba Samosir, Sumatera Utara, Indonesia.

Published: May 2019

AI Article Synopsis

  • The study investigates the symptoms and prevalence of Cryptosporidiosis among HIV-infected patients at Haji Adam Malik General Hospital in Medan, Indonesia, noting the challenges in treatment.
  • A total of 24 HIV patients with over a week of diarrhea were enrolled, revealing that 8 tested positive for Cryptosporidiosis, with major symptoms including abdominal cramps, nausea, vomiting, and fever.
  • The research highlights significant associations between the severity of symptoms and immune system health, especially CD4 cell count, emphasizing the need for clinicians to be vigilant in managing high-risk patients.

Article Abstract

Background: . is an apicomplexan protozoa, and it is related to an immunocompromised state. As it develops diverse clinical manifestations, mild to life-threatening conditions, administration of anti-parasitic medication and its management remain problematic.

Aim: The study aimed to provide Cryptosporidiosis symptomatology and its prevalence among HIV-infected patients in a tertiary referral hospital, Haji Adam Malik General Hospital, Medan, Indonesia.

Material And Methods: Symptomatology was noted using short-questionnaire, and laboratory findings were obtained from the hospital medical record registry on the same day of admission. We enrolled 24 patients were suffered from HIV infection for a certain period and more than one-week diarrhoea including 18 males and 6 females. Routine faeces examination using wet mount, Kinyoun-gabet, and trichrome staining was performed for all samples in Parasitology Department, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia. Numerical data were evaluated using the Mann-Whitney test while Fisher Exact test was used to determine any association between categorical variables.

Results: Our study found that 8 of 24 patients were positive with . while its symptomatology including abdominal cramp (66.7%), nausea and vomiting (70.8%), and fever (62.5%) is prevalent from our study. We obtained significant association between CD4 cell count (p = 0.006), diarrhea duration (p = 0.007), abdominal pain (p = 0.005), and nausea and vomiting (p = 0.021) with cryptosporidiosis.

Conclusion: High consideration of several symptoms related to cryptosporidiosis leads a clinician to initiate prompt management particularly in a high-risk population.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6560305PMC
http://dx.doi.org/10.3889/oamjms.2019.329DOI Listing

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