TABLE 1.
Comparison of four diagnostic methods for the 15 patients with microsporidia detected by stained smears of stool samplesa
Case no. | Sexc | Age (yr) | HIV status | No. of CD4/mm3 | Stool sample results by:
|
||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Light microscopyb
|
PCRd
|
TEM | IFAT
|
||||||||
Small | Large | E. bieneusi | E. intestinalis | 3B82H2 | 6E52D9 | ||||||
1 | M | 30 | + | 44 | N | + | − | ND | + | + | |
2 | M | 16 | − | 737 | VN | + | − | E. bieneusi | + | + | |
3 | M | 52 | + | 0 | R | + | − | E. bieneusi | + | + | |
4 | M | 42 | + | 119 | F | + | − | E. bieneusi | + | + | |
5 | F | 26 | + | 13 | N | + | − | E. bieneusi | + | + | |
6 | M | 38 | + | 35 | N | + | − | ND | + | + | |
7 | M | 39 | + | 23 | R | + | − | ND | + | + | |
8 | M | 29 | + | 10 | N | + | − | E. bieneusi | + | + | |
9 | F | 35 | + | 3 | VN | + | − | E. bieneusi | + | + | |
10 | M | 39 | + | 41 | R | − | + | E. intestinalis | − | − | |
11 | M | 49 | + | 20 | N | + | − | ND | + | + | |
12 | M | 50 | − | ND | N | + | − | ND | + | + | |
13 | M | 52 | + | 6 | N | + | − | E. bieneusi | + | + | |
14 | M | 45 | + | 40 | F | + | − | ND | + | + | |
15 | M | 34 | + | 15 | VN | + | − | ND | + | + |
+, positive; −, negative; ND, not done.
Uvitex 2B stain and Weber's modified trichrome stain were performed for all patients. Spores were classified as either small (diameter, 1 to 1.5 μm) or large (diameter, 1.2 to 2.2 μm). Classification of spore quantity per microscopic field (magnification, ×1,000; oil immersion): VN, very numerous; N, numerous; F, few; R, rare.
M, male; F, female.
Specific PCR assay for direct detection of intestinal microsporidia.