Document Detail


Resolution of microsporidial sinusitis and keratoconjunctivitis by itraconazole treatment.
MedLine Citation:
PMID:  10030568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report successful treatment of ocular infection caused by the microsporidium Encephalitozoon cuniculi in a person with acquired immunodeficiency syndrome (AIDS) and nasal and paranasal sinus infection. METHOD: Case report. RESULTS: Microsporidial infection in a person with AIDS and with chronic sinusitis and keratoconjunctivitis was diagnosed by Weber modified trichrome stain and transmission electron microscopy. Symptoms completely resolved with itraconazole treatment (200 mg/day for 8 weeks) after albendazole therapy (400 mg/day for 6 weeks) was unsuccessful. CONCLUSION: Itraconazole can be recommended in ocular, nasal, and paranasal sinus infection caused by E. cuniculi parasites when treatment with albendazole fails.
Authors:
P Rossi; C Urbani; G Donelli; E Pozio
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  127     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-02-26     Completed Date:  1999-02-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  210-2     Citation Subset:  AIM; IM; X    
Affiliation:
Laboratory of Parasitology, Istituto Superiore di Sanità, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
AIDS-Related Opportunistic Infections / drug therapy,  parasitology
Adult
Animals
Antifungal Agents / therapeutic use*
Encephalitozoon cuniculi / isolation & purification*,  ultrastructure
Encephalitozoonosis / drug therapy*,  parasitology
Epithelium, Corneal / parasitology
Eye Infections, Parasitic / drug therapy*,  parasitology
Humans
Itraconazole / therapeutic use*
Keratoconjunctivitis / drug therapy*,  parasitology
Male
Sinusitis / drug therapy*,  parasitology
Chemical
Reg. No./Substance:
0/Antifungal Agents; 84625-61-6/Itraconazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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