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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)

The epidemiology of intestinal microsporidiosis in patients with HIV/AIDS in Lima, Peru.

We studied microsporidiosis in human immunodeficiency virus-positive patients in 2 Lima hospitals. Of 2652 patients, 66% were male, 6% received antiretroviral therapy (ART), and the median CD4 lymphocyte count was 131 cells/microL. Sixty-seven patients (3%) had microsporidiosis; stool specimens from 56 were identified as having Enterocytozoon bieneusi of 10 different genotypes. The 2 most common genotypes, Peru-1 and Peru-2, were not associated with significant increases in chronic diarrhea; other genotypes were associated with a 4-fold increased risk. Risk factors for E. bieneusi infection segregated by genotype: contact with duck or chicken droppings and lack of running water, flush toilet, or garbage collection with genotype Peru-1 and watermelon consumption with other genotypes. Shortened survival was associated with low CD4 lymphocyte count (P<.0001), no ART (P<.0001), and cryptosporidiosis (P=.004) but not with microsporidiosis (P=.48). Our data suggest the possibility of zoonotic E. bieneusi transmission and an association with poor sanitary conditions.[1]


  1. The epidemiology of intestinal microsporidiosis in patients with HIV/AIDS in Lima, Peru. Bern, C., Kawai, V., Vargas, D., Rabke-Verani, J., Williamson, J., Chavez-Valdez, R., Xiao, L., Sulaiman, I., Vivar, A., Ticona, E., Navincopa, M., Cama, V., Moura, H., Secor, W.E., Visvesvara, G., Gilman, R.H. J. Infect. Dis. (2005) [Pubmed]
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