A Case of Chronic Diarrhea Due to Isospora belli

We present a case of 56 years old male patient with HIV infection and chronic renal failure from Cameroon. He had been having diarrhea without blood or mucus for four months. The patient who has been in Chad and Zaire for eight years was hospitalized to the Infectious Diseases Division of Medical Faculty of Cerrahpafla on October 1997. On the examination of his feces on two subsequent days in the third week of his admittance to the service, immature oocytes of Isospora were detected. The diarrhea of the patient was cured on the second day of TMP/SMX therapy which was planned for one month. From our country 6 cases of isosporiasis have been reported until today. The case that we present was a traveller from Africa who came to visit our country. He had come to our clinic because of his increasing complaints. We have wanted to draw attention to the isosporiasis cases in HIV infected patients with diarrhea in a season of increased touristic activity