Case report
2022
Year : 2022 Month : July Volume : 11 Issue : 3 Page : MC01 - MC02 Full Version

Severe Cystoisospora belli Diarrhoea in Post Renal Transplant Patient

Published: July 1, 2022 | DOI: https://doi.org/10.7860/NJLM/2022/53583.2655
Swati Tewari, Sandeep Garg, Shweta Garg
1. Associate Professor, Department of Microbiology, NCR Institute of Medical Science, Meerut, Uttar Pradesh, India. 2. Consultant Nephrologist, Department of Nephrology, Nutema Hospital, Meerut, Uttar Pradesh, India. 3. Consultant Pathologist, Department of Pathology, Nutema Hospital, Meerut, Uttar Pradesh, India.
 
Correspondence Address :
Swati Tewari, Sandeep Garg, Shweta Garg,
Dr. Swati Tewari,
Address- L-8, Medical Campus LLRM Medical Campus, Meerut-250004,
Uttar Pradesh, India.
E-mail: tiwari.kaval.swati@gmail.com
 
ABSTRACT
: Cystoisospora belli (C. belli) is an opportunistic protozoal parasite. It is prevalent in tropical and subtropical areas of the world. It is frequently encountered in immunocompromised patients with Acquired Immunodeficiency Syndrome (AIDS) and other immunodeficiency illnesses. Infection usually occurs due to faecal contamination of food and water. Chronic severe watery diarrhoea occurs in C. belli infected patients. C. belli is diagnosed by demonstration of characteristic oocyst in the stool sample. The common methods used for stool examination are wet saline mount, iodine mount, and modified acid fast staining. Although C. belli is distributed worldwide and more prevalent in developing countries but not much reported from India. Most of the cases reported from India are in Human Immunodeficiency Virus (HIV)-positive patients and not many cases reported in renal transplant cases. Here, a case of 27-year old male post renal transplant patient having severe diarrhoea has been presented. Patient complaining of watery diarrhoea off and on for last one month for which he had taken some medicine from his local level but not got relieved. The patient was negative for HIV and was on immunosuppressive drugs. Stool sample of the patient examined by direct wet mount, iodine mount and acid fast staining. On microscopy characteristic oocysts of C. belli were detected. The patient was given combination treatment to which he responded well.
Keywords : Chronic diarrhoea, Immunocompromised patients, Oocyst, Protozoal parasite
DOI and Others : DOI: 10.7860/NJLM/2022/53583.2655 Date of Submission: Dec 13, 2021 Date of Peer Review: Jan 09, 2022 Date of Acceptance: May 13, 2022 Date of Publishing: Jul 01, 2022 b#bAuthor declaration:b?b • Financial or Other Competing Interests: None • Was informed consent obtained from the subjects involved in the study? No • For any images presented appropriate consent has been obtained from the subjects. No PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Dec 15, 2021 • Manual Goog
 
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