Format

Send to

Choose Destination
See comment in PubMed Commons below
Acta Med Okayama. 2009 Aug;63(4):217-21.

Human intestinal spirochetosis accompanied by human immunodeficiency virus infection: a case report.

Author information

1
Division of Medicine, Japan Self Defense Forces Hospital Yokosuka, Yokosuka, Kanagawa 237-0071, Japan.

Abstract

We present a middle-aged, heterosexual Japanese man with mixed infections including human intestinal spirochetosis, which led us to the detection of human immunodeficiency virus (HIV) infection. The patient had syphilis without related physical or neurological findings. An examination for the serum antibody for HIV performed 9 years previously was negative. In a complete medical checkup at the present time, human intestinal spirochetosis and unspecified entamebic cysts were suggested by histological examination of colonic biopsy material and parasitic examination of the intestinal fluid, respectively. Moreover, a serological test for the antibody for HIV was positive. In specimens obtained by colonoscopy, Brachyspira aalborgi was diagnosed by ultrastructural study and the polymerase chain reaction method for bacterial 16S ribosomal deoxyribonucleic acid. Although HIV infection remains at low prevalence in Japan, we recommend examination for HIV infection in patients with human intestinal spirochetosis, especially when other co-infections are apparent.

PMID:
19727207
DOI:
10.18926/AMO/31818
[Indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Okayama University Medical School
    Loading ...
    Support Center