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Intestinal Parasite Carriage in Seropositive Patients

DOI : https://doi.org/10.36349/easjpid.2026.v08i01.002
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Introduction: Human immunodeficiency virus (HIV) infection represents a major public health issue. The immunosuppression it induces promotes the development of numerous opportunistic infections responsible for significant mortality. Among these infections, intestinal parasitic infections are the main causes of severe chronic diarrhea in immunocompromised patients. The opportunistic parasitic infections most often implicated in the genesis of this diarrhea include coccidiosis and microsporidiosis. Objective: This study aims to determine the prevalence and risk factors of intestinal parasitosis in HIV-positive patients, a population particularly exposed to severe clinical forms due to their immune deficiency. Materials and Methods: This is a prospective descriptive study conducted over a three-month period, from November 2024 to February 2025, at the parasitology-mycology laboratory of the HMIMV in Rabat. Patients with positive HIV serology were included, whether or not they presented digestive symptoms. A parasitological examination of the stool was carried out for each patient, including, in addition to conventional techniques, modified Ziehl-Neelsen staining and the Baermann technique. Statistical analysis was performed using Jamovi software, version 2.6.13. Results: A total of 28 patients were included, with a mean age of 48.21 years and a male/female sex ratio of 8.33. The overall prevalence of parasitic infestations was 42.8%, consisting exclusively of protozoa. Among these, Blastocystis hominis represented 38% (n=5), intestinal coccidia 31% (n=4), amoebae 23% (n=3), and flagellates 8% (n=1). These results corroborate some studies highlighting the predominance of protozoa, parasites closely linked to fecal peril. Furthermore, no statistically significant association was observed between parasitism and the variables age, sex, CD4 count, or drinking water source, probably due to the small size of our sample. Conclusion: The intestinal parasitism observed in our pa

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Professor Thomas Count Dracula, MD, PhD

Distinguished Professor of Haematology Head — Experimental, Historical & Sensory Haematology Vlad the Impaler University, Wolf’s Lane, Wooden Stakes Grove 666, Transylvania.

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