Nitazoxanide or CD3+/CD4+ lymphocytes for recovery from severe Cryptosporidium infection after allogeneic bone marrow transplant?

被引:12
作者
Faraci, M.
Cappelli, B.
Morreale, G.
Lanino, E.
Moroni, C.
Bandettini, R.
Terranova, M. P.
Di Martino, D.
Coccia, C.
Castagnola, E.
机构
[1] G Gaslini Childrens Hosp, Bone Marrow Transplantat Unit, Dept Hematol & Oncol, I-16147 Genoa, Italy
[2] G Gaslini Childrens Hosp, Infect Dis Unit, Dept Hematol & Oncol, I-16147 Genoa, Italy
[3] G Gaslini Childrens Hosp, Clin Pathol & Microbiol Lab, Dept Hematol & Oncol, I-16147 Genoa, Italy
[4] G Gaslini Childrens Hosp, Hematol Lab, Dept Hematol & Oncol, I-16147 Genoa, Italy
[5] G Gaslini Childrens Hosp, Serv Pathol, I-16147 Genoa, Italy
关键词
cryptosporidium; nitazoxanide; bone marrow transplantation; CD3+/CD4+lymphocytes;
D O I
10.1111/j.1399-3046.2006.00622.x
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
We describe a case of Cryptosporidium infection occurring in a child after allogeneic SCT for acute non-lymphoblastic leukemia. This patient presented an intestinal, biliar, and pancreatic Cryptosporidium disease associated with an intestinal aGvHD. The increase in CD3+/CD4+ cells secondary to the reduction of steroid therapy associated with the improvement of aGvHD and the use of antiparasitic treatments (especially nitazoxanide) improved the infection-related symptoms and led to a complete clearance of the Cryptosporidium.
引用
收藏
页码:113 / 116
页数:4
相关论文
共 12 条
[1]
ATKINS JT, 2004, TXB PEDIAT INFECT DI, P2687
[2]
Efficacy of nitazoxanide and paromomycin in biliary tract cryptosporidiosis in an immunosuppressed gerbil model [J].
Baishanbo, A ;
Gargala, G ;
Duclos, C ;
François, A ;
Rossignol, JF ;
Ballet, JJ ;
Favennec, L .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2006, 57 (02) :353-355
[3]
Epidemiology of Cryptosporidium parvum in symptomatic paediatric oncology patients [J].
Burgner, D ;
Pikos, N ;
Eagles, G ;
McCarthy, A ;
Stevens, M .
JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 1999, 35 (03) :300-302
[4]
GENTILE G, 1991, REV INFECT DIS, V13, P842
[5]
Epidemiology and clinical features of Cryptosporidium infection in immunocompromised patients [J].
Hunter, PR ;
Nichols, G .
CLINICAL MICROBIOLOGY REVIEWS, 2002, 15 (01) :145-+
[6]
MAGI B, 2005, PARASSITOL RES, V18, P1
[7]
Effect of nitazoxanide in diarrhea and enteritis caused by Cryptosporidium species [J].
Rossignol, JF ;
Kabil, SM ;
El-Gohary, Y ;
Younis, AM .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2006, 4 (03) :320-324
[8]
Eradication of Cryptosporidium in a child undergoing maintenance chemotherapy for leukemia using high dose azithromycin therapy [J].
Russell, TS ;
Lynch, J ;
Ottolini, MG .
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY, 1998, 20 (01) :83-85
[9]
New drugs and treatment for cryptosporidiosis [J].
Smith, HV ;
Corcoran, GD .
CURRENT OPINION IN INFECTIOUS DISEASES, 2004, 17 (06) :557-564
[10]
White Jr. AC, 2005, PRINCIPLES PRACTICE, P3215