Anncaliia algerae Microsporidial Myositis
Autor: | Kate Clezy, Alexander C. Outhred, Stephen W. Reddel, Vivienne Tobias, Andrew S. Field, Damien Stark, Elaine Y.L. Cheong, Susan Brammah, James V. Bertouch, Matthew R Watts, Michael V. Prowse, Bobby Chacko, Deborah Marriott, Cameron E. Webb, Chiwai Tong, Renee C.F. Chan |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
Microbiology (medical)
Male medicine.medical_specialty Epidemiology lcsh:Medicine Biology Albendazole lcsh:Infectious and parasitic diseases Arthritis Rheumatoid Immunocompromised Host Fatal Outcome Anncaliia algerae Microsporidiosis medicine Humans lcsh:RC109-216 insects Muscle Skeletal Myositis Aged Life Cycle Stages Transmission (medicine) lcsh:R Australia Organ Transplantation microporidia arthritis rheumatoid medicine.disease infection Skeletal muscle biopsy Transplantation Infectious Diseases Rheumatoid arthritis Immunology Synopsis solid-organ transplantation Apansporoblastina myositis Immunosuppressive Agents medicine.drug |
Zdroj: | Emerging Infectious Diseases, Vol 20, Iss 2, Pp 185-191 (2014) Emerging Infectious Diseases |
ISSN: | 1080-6059 1080-6040 |
Popis: | Immunosuppression is a risk factor for serious infection in humans. The insect microsporidian Anncaliia algerae was first described in 2004 as a cause of fatal myositis in an immunosuppressed person from Pennsylvania, USA. Two cases were subsequently reported, and we detail 2 additional cases, including the only nonfatal case. We reviewed all 5 case histories with respect to clinical characteristics, diagnosis, and management and summarized organism life cycle and epidemiology. Before infection, all case-patients were using immunosuppressive medications for rheumatoid arthritis or solid-organ transplantation. Four of the 5 case-patients were from Australia. All diagnoses were confirmed by skeletal muscle biopsy; however, peripheral nerves and other tissues may be infected. The surviving patient received albendazole and had a reduction of immunosuppressive medications and measures to prevent complications. Although insects are the natural hosts for A. algerae, human contact with water contaminated by spores may be a mode of transmission. A. algerae has emerged as a cause of myositis, particularly in coastal Australia. |
Databáze: | OpenAIRE |
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