Enterocytozoon bieneusi as a cause of acute enteritis in an immunocompromised patient

Abstract

43-godišnji bolesnik pod imunosupresivnom terapijom radi prije dvije godine presađenog srca, hospitaliziran je s kliničkom slikom akutnog enteritisa. Rutinskim mikrobiološkim analizama stolica nije dokazan uzročnik. Modificiranim Ziehl-Nielsenovim bojanjem kao i trikromnim bojanjem na mikrosporidije dokazane su spore mikrosporidija koje morfološki odgovaraju Enterocytozoon bieneusi. Na simptomatsku terapiju je bolesnik ozdravio.43-year-old patient receiving immunosuppressive therapy for two years after heart transplantation was admitted because of acute enteritis. Routine stool examinations did not reveal causative agent. Modified Ziehl-Nielsen stain and trichrome stain revealed microsporidia spores shaped as Enterocytozoon bieneusi. Patient recovered completely after symptomatic treatment