Risk Factors for Intestinal Microsporidiosis in Patients with Human Immunodeficiency Virus Infection: A Case-Control Study

A prospective unmatched case-control study was conducted to determine risk factors for intestinal microsporidiosis in persons infected with human immunodeficiency virus (HIV) who had ⩽200 CD4 cells/mm3. In multivariate analysis, case-patients (n = 30) were more likely than were controlsubjects (n =...

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Bibliographic Details
Published in:The Journal of infectious diseases 1998-09, Vol.178 (3), p.904-907
Main Authors: Hutin, Yvan J. F., Sombardier, Marie-Noelle, Liguory, Olivier, Sarfati, Claudine, Derouin, Francis, Modaï, Jacques, Molina, Jean-Michel
Format: Article
Language:English
Subjects:
Adult
AIDS
AIDS-Related Opportunistic Infections - blood
AIDS-Related Opportunistic Infections - parasitology
AIDS-Related Opportunistic Infections - transmission
AIDS/HIV
Amibiasis
Animals
Biological and medical sciences
Case-Control Studies
CD4 Lymphocyte Count
Concise Comunications
Disease transmission
Enterocytozoon bieneusi
Enterocytozoon intestinalis
Female
HIV
Human immunodeficiency virus 1
Human protozoal diseases
Humans
Infections
Infectious diseases
Intestinal Diseases, Parasitic - blood
Intestinal Diseases, Parasitic - parasitology
Intestinal Diseases, Parasitic - transmission
Lymphocytes
Male
Male homosexuality
Medical sciences
Microsporida - classification
Microsporida - isolation & purification
Microsporidia
Microsporidiosis
Microsporidiosis - blood
Microsporidiosis - parasitology
Microsporidiosis - transmission
Middle Aged
Parasitic diseases
Predisposing factors
Prospective Studies
Protozoal diseases
Risk Factors
Swimming
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Summary:A prospective unmatched case-control study was conducted to determine risk factors for intestinal microsporidiosis in persons infected with human immunodeficiency virus (HIV) who had ⩽200 CD4 cells/mm3. In multivariate analysis, case-patients (n = 30) were more likely than were controlsubjects (n = 56) to have ⩽100 CD4 cells/mm3 (odds ratio [OR], 6.5; 95% confidence interval [CI], 1–42), to report male homosexual preference (OR, 7.6; 95% CI, 1–59.5), and to report swimming in a pool in the previous 12 months (OR, 9.2; 95% CI, 2.1–38.9). In summary, intestinal microsporidiosis in persons with HIV infection and ⩽200/mm3 CD4 cells is associated with male homosexuality and swimming in pools, suggesting fecal-oral transmission, including sexual and waterborne routes.
ISSN:0022-1899
1537-6613
DOI:10.1086/515353