JOURNAL OF PUBLIC HEALTH AND DISEASES
Integrity Research Journals

ISSN: 2705-2214
Model: Open Access/Peer Reviewed
DOI: 10.31248/JPHD
Start Year: 2018
Email: jphd@integrityresjournals.org


Cystoisosporiasis in Apparently Healthy subjects and HIV/AIDS patients in Minna, Niger State

https://doi.org/10.31248/JPHD2018.009   |   Article Number: 127FDFB92   |   Vol.1 (1) - August 2018

Received Date: 27 August 2018   |   Accepted Date: 27 August 2018  |   Published Date: 30 August 2018

Authors:  Moses, N. O. , Olayemi, I. K. , Omalu, I. C. J. , Ejima, I. A. A. , Abah, O. M.* and Simon, P. O.

Keywords: prevalence, Apparently healthy, CD4 cell counts, Cystoisosporiais, HIV/AIDs

A random sampling and cross sectional study was carried out in General Hospital, Minna, Niger State, Nigeria using parasitological techniques to screen faecal samples for Cystoisospora belli. Blood samples of participants were also screened to determine the CD4 counts of infected subjects while Body Mass Index of subjects was determined to describe their nutritional status. A total of 783 individuals consisting of 317 apparently healthy subjects and 466 HIV/AIDs patients were screened for cystoisosporiasis. Out of the 783 subjects screened, 81 (10.34%) were positive for Cystoisospora belli. The infection was significantly higher (P < 0.05) in HIV/AIDs patients (12.45%) than in apparently healthy subjects (2.84%). The infection was more prevalent (6.69%) in males than in females (6.40%), (P < 0.05). The rate of infection in relation to age group was highest in subjects who were ≤10 years old (11.90%) and least in subjects who were 11 to 20 years old (4.24%). A significant difference in infection rate (P< 0.05) was found between the categories of subjects screened and age groups. The infection rate was highest (22.64%) in subjects who were nutritionally deficient and least (13.12%) in subjects with normal body mass index. Subjects with CD4 cell counts < 200 cells/µl had the highest infection rate (38.24%) while those with CD4 cell counts ≥ 500 cells/µl had the least infection rate (2.78%). Chi – square analysis showed significant difference (P < 0.05) in infection rates between the categories of subjects screened and CD4 counts.

Akinbo, F. O., Christopher, E. O., & Ricardo, L. M. (2009). Isosporiasis in HIV/AIDS Patients in Edo State, Nigeria. Malaysian Journal of Medical Sciences, 16(3), 41-44.
 
Amuta, E. U., & Mker, S. (2009). Impact of socio-demographic and economic factors on the prevalence of intestinal parasites among female gender in Makurdi, Benue state. The Internet Journal of World Medicine, 8, 2, Ana, P. A., Begoria, M. M., Marta, D. M., Francesca, N., Jose, A. P., & Rogelio, L. V. (2010). Self – limited Travellers' Diarrhoea by I. belli in a Patient with Dengue Fever. Journal of Society of Travel Medicine, 18 (3), 212-213.
 
Assefa, S., Erko, B., Medhin, G., Assafa, Z., & Shimelis, T. (2012). Intestinal parasitic infections in relation to HIV/AIDs status, diarrhoea and CD4 T-cell count. Journal of Biomedical Central Infectious Disease, 9,155.
 
Bialek, R., Overkamp, D., Retting, I., & Knobloch, J. (2011). Case report: Nitazoxanide treatment failure in chronic Isosporiasis. American Journal of Tropical Medicine, 65, 94-95.
Crossref
 
Cappello, M. (2004). Global impacts of soil-transmitted nematodes. Pediatrics Infectious Disease Journal, 23, 663-4,
Crossref
 
Centre for Disease Control and Prevention (2012a). Parasites – Cystoisosporiasis (formerly known as Isosporiasis).
Link
 
Centre for Disease Control and Prevention (2012b). Laboratory Procedure Manual: Complete Blood Count with 5 parts differentials in whole blood using NHANES. Pp. 1-195.
Link
 
Dawit, K. R. (2013). Prevalence of Isospora belli and Cryptosporidium parvumInfections among HIV Sero – positive Patients in Asella Hospital, Arsi Zone, Central Ethiopia. Pp. 1-166.
 
Desalegn, A. (2013). Effects of Intestinal Parasitic Infection and Nutritional Status on Academic performance of school children. World Journal of Arts, Commerce and Science, 1(2), 01-07.
 
Din, U. N., Torka, P., Hutchison, R. E., Riddell, W., & Gajra, A. (2012). Case severe Isospora (Cystoisospora) belli diarrhoea preceeding the diagnosis of Human T-cell-leukemia-virus-1- Associated T-cell lymphoma. Case reports in infectious Diseases. 2012(2012), 4p.
 
Djieyep, A. C. N., Djieyep, F. D., Pokam, B. T., David, D. L., & Kamga, H. L. F. (2014). The prevalence of intestinal coccidian parasites burden in HIV/AIDs patients on antiretroviral therapy in HIV centres in Mubi, Nigeria. African Journal of Clinical and Experimental Microbiology. 15(3), 165-172.
Crossref
 
Drake, L. J., Jukes, M. C. H., Sternberg, R. J., & Bunday, D. A. P. (2000). Geo-helminth infections (ascariasis, trichiuriasis, and hookworm): cognitive and development impacts. Seminar on Paediatric Infectious Disease, 11, 245-251.
Crossref
 
Edward, M., & Michael, K. (2004). Worms: Identifying impacts on Educational and Health in the presence of treatment externalities. Journal of Econometrica, 72 (1), 159-217.
 
Fredrick, O. A., Christopher, E. O., & Richard, O. (2011). Prevalence of Intestinal Parasites in Relation to CD4 counts and Anaemia among HIV – Infected Patients in Benin City, Edo State, Nigeria. Tanzania Journal of Health Research, 3(2), 10-16.
 
Gupta, S., Narang, S., Nunavath, V., & Singh, S. (2008). Chronic diarrhoea in HIV patients. Prevalence of coccidian parasites. Journal of Medical Microbiology, 26(2), 172-175.
Crossref
 
Guyatt, H. L. (2000). Do intestinal nematodes affect productivity in adulthood? Parasitol Today, 16, 153-158.
Crossref
 
Inabo, H. I., Aminu, M., Muktar, H., & Adeniran, S. (2012). Profile of intestinal parasitic infections associated with diarrhoea in HIV/AIDs patients in tertiary care hospital in Zaria, Nigeria. World Journal of Life Science Medical Resources, 2, 43-47.
 
Indrani, M., Pritilata, P., Susmita, S., Mutikesh, D., Moningi, V. N., Sanghamitra, P., & Banojini, P. (2013). Prevalence of isosporiasis in relation to CD4 cell counts among HIV-infected patients with diarrhoea in Odisha, India. Advanced Biomedical Resources, 2, 61.
Crossref
 
Kuma, S. S., Ananthan, S. S., & Lakshmi, P. (2002). Intestinal parasitic infection in HIV infected patients with diarrhoea in Chennai. Indian Journal of Medical Microbiology, 20(2), 88-91.
 
Mahdi, N. K., & Ali, N. H. (2002). Intestinal parasites, including Cryptosporidium species, in Iraqi patients with sickle-cell anaemia. East Mediterranean Health Journal, 8(2-3), 345-349.
 
Mekonnen, G., Wondu, T., Beyene, P., & Tekola E. (2014). Cryptosporidiosis and Isosporiasis among HIV-positive individuals in south Ethiopia: a cross sectional study. BMC Infectious Diseases. 14:100
Crossref
 
Min, J. K., Woo, H. K., Hyun-chae, J., Jee-won, C., & Jong-yil, C. (2013). Isospora belli Infection with Chronic Diarrhoea in an Alcoholic Patient. Korean Journal of Parasitology, 51(2), 207-217.
Crossref
 
Ministry of land and survey (2014). Map of Niger State.
Link
 
National Population Commission (NPC) (2006). Access my library.com, NgEx.com.
 
Neha, G., Sumeetaq, K., Aman, S., & Rakesh, S. (2014). Isosporiasis in a tertiary care centre of North India. Indian Journal of Pathology and Microbiology, 57(2), 272-274.
Crossref
 
Ogbe, M. G., & Odudu, L. A. (1990). Gastro-intestinal helminths in Epe LGA, Lagos State, Nigeria. Nigerian Journal of Parasitology, 9-11, 95-106.
 
Paul, A. (2012). Cystoisospora belli. Microbiology. Johns Hopkins ABX Guides.
Link
 
Pravean, K., Omvat, V., Dinesh, K., & Sarman S. (2017). Coccidian Intestinal Parasites among Immunocompetent Children presenting with diarrhoea. Are we missing them? Journal of Tropical Parasitology, 7(1), 37-40.
 
Rattan, L. I., & Rajesh, B. (2005). Medical parasitology. Jaypee Brothers Medical Publishers. New Delhi. Pp. 110-112.
 
Resiere, V. B., & Chachaty, N. B. (2003). Isosporabelli infection in a patient with non-Hodgkin's lymphoma. Journal of Clinical and Microbiology Infection, 9(10), 1065-1067.
Crossref
 
Sanad, T., Al-Olayan, A., Al-Hammaad, A., & Mohamed, (2014). Opportunistic Coccidian Parasites among Saudi Cancer Patients Presenting with Diarrhea: Prevalence and Immune Status. Research Journal of Parasitology, 9, 55-63.
Crossref
 
Sauda, F. C., Zamarioli, L. A., Filho, W. E., & de Barros Mello, L. (1993). Prevalence of Cryptosporidium sp. and Isospora belli among AIDS patients attending Santos Reference Center for AIDS, Sao Paulo, Brazil. The Journal of parasitology, 79(3), 454-456.
Crossref
 
Savioli, L., & Albonico, M. (2004). Soil-transmitted helminthiasis. Nature Reviews Microbiology, 2, 618-619.
Crossref
 
Steketee, R. W. (2003). Pregnancy, Nutrition and Parasitic Diseases. Journal of Nutrition, 133, 1661S-1667S.
Crossref
 
Woon, S. A., Yang, R., Ryan, U., Boan, P., & Prentice, D. (2016). Chronic Cystoisospora belli infection in an immunocompetent Myanmar refugee–microscopy is not sensitive enough. Journal of BioMedical Centre and Infectious Diseases, 16(1), 221.
Crossref
 
Vignesh, R., Balakrishnan, P., Shankar, E. M., Murugavel, K. G., Hanas, S., & Cecilia, A. J. (2017). High proportions of Isosporiasis among HIV infected patients with diarrhoea in Southern India. American Journal of Tropical Medicine and Hygiene, 77(5), 823-824.
 
World health Organization (2018). Body Mass Index. UncityMarmorrey DK – 2100 Copnhagen ǿ Denmark.
Link