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Abstract

In recent years, attention has been drawn to the association between male homosexuality and a variety of enteric infections. Multiple sexual partners, specific sexual practices and a large reservoir of asymptomatic carriers all contribute to the spread of infection among homosexual men.

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References

  • Allason-Jones E, Mindel A, Sargeaunt P, Williams P (1986) Entamoeba histolytica as a commensal intestinal parasite in homosexual men. N Engl J Med 315:353–356

    Article  PubMed  CAS  Google Scholar 

  • Angus KW (1983) Cryptosporidiosis in man, domestic animals and birds: a review. J R Soc Med 76:62–70

    PubMed  CAS  Google Scholar 

  • Ashton N, Wirasinha PA (1973) Encephalitozoonosis (nosematosis) of the cornea. Br J Opthalmol 57: 669–674

    Article  CAS  Google Scholar 

  • Baxby D, Hart CA, Taylor C (1983) Human cryptosporidiosis: a possible case of hospital cross infection. Br Med J 287:1760–1761

    Article  CAS  Google Scholar 

  • Bergquist R, Morfeldt-Mansson L, Pehrson PO, Petrini B, Wasserman J (1984) Antibody against Encephalitozoon cuniculi in Swedish homosexual men. Scand J Infect Dis 16:389–391

    Article  PubMed  CAS  Google Scholar 

  • Bienzle U, Coester CH, Knobloch J, Guggenmoos-Holzmann I (1984) Protozoal enteric infections in homosexual men. Klin Wochenschr 62:323–327

    Article  PubMed  CAS  Google Scholar 

  • Brandborg LL, Goldberg SB, Breidenbach WC (1970) Human coccidiosis — a possible cause of malabsorption. N Engl J Med 283:1306–1313

    Article  PubMed  CAS  Google Scholar 

  • Burnham WR, Reeve RS, Finch RG (1980)Entamoeba histolytica infection in male homosexuals. Gut 21: 1097–1099

    Article  PubMed  CAS  Google Scholar 

  • Casemore DP, Jackson B (1983) Sporadic cryptosporidiosis in children. Lancet ii: 679

    Google Scholar 

  • Casemore DP, Sands RL, Curry A (1985)Cryptosporidium species, a “new” human pathogen. J Clin Pathol 38:1321–1336

    Article  PubMed  CAS  Google Scholar 

  • Centers for Disease Control (1982) Cryptosporidiosis: assessment of chemotherapy of males with acquired immune deficiency syndrome (AIDS). MMWR 31:589–592

    Google Scholar 

  • Centers for Disease Control (1984) Update: treatment of cryptosporidiosis in patients with acquired immune deficiency syndrome (AIDS). MMWR 33:117–119

    Google Scholar 

  • Chin ATL, Gerken A (1984) Carriage of intestinal protozoal cysts in homosexuals. Br J Vener Dis 60: 193–195

    PubMed  CAS  Google Scholar 

  • Collier AC, Miller RA, Meyers JD (1984) Cryptosporidiosis after marrow transplantation: person-to-person transmission and treatment with spiramycin. Ann Intern Med 101:205–206

    PubMed  CAS  Google Scholar 

  • Current WL, Reese NC, Ernst JV, Bailey WS, Heyman MB, Weinstein WM (1983) Human cryptosporidiosis in immunocompetent and immunodeficient persons. N Engl J Med 308:1252–1257

    Article  PubMed  CAS  Google Scholar 

  • De Hovitz JA, Pape JW, Boncy M, Johnson WD (1986) Clinical manifestations and therapy ofIsospora belli infection in patients with the acquired immune deficiency syndrome. N Engl J Med 315:87–90

    Article  Google Scholar 

  • Dobbins WO, Weinstein WM (1985) Electron microscopy of the intestine and rectum in acquired immunodeficiency syndrome. Gastroenterology 88:738–749

    PubMed  Google Scholar 

  • Garcia LS, Bruckner DA, Brewer TC, Shimizu RY (1983) Techniques for the recovery and identification ofCryptosporidium oocysts from stool specimens. J Clin Microbiol 18:185–190

    PubMed  CAS  Google Scholar 

  • Gathiram V, Jackson TFHG (1985) Frequency distribution ofEntamoeba histolytica zymodemes in a rural South African population. Lancet i: 719–721

    Article  Google Scholar 

  • Goldmeier D, Sargeaunt PG, Price AB et al. (1986) IsEntamoeba histolytica in homosexual men a pathogen? Lancet i: 641–644

    Article  Google Scholar 

  • Green EL, Miles MA, Warhurst DC (1985) Immunodiagnostic detection of Giardia antigen in faeces by a rapid visual enzyme-linked immunosorbent assay. Lancet ii: 691–693

    Article  Google Scholar 

  • Hakansson C, Thoren K, Norkrans G, Johannisson G (1984) Intestinal parasitic infection and other sexually transmitted diseases in asymptomatic homosexual men. Scand J Infect Dis 16:199–202

    Article  PubMed  CAS  Google Scholar 

  • Hart CA, Baxby D, Blundell N (1984) Gastroenteritis due to Cryptosporidium: a prospective survey in a children’s hospital. J Infect 9:264–270

    Article  PubMed  CAS  Google Scholar 

  • Henderson HE, Gillepsie GW, Kaplan P, Steber M (1963) The human Isospora. Am J Hyg 78: 302–309

    PubMed  CAS  Google Scholar 

  • Holley HP, Dover C (1986)Cryptosporidium: a common cause of parasitic diarrhoea in otherwise healthy individuals. J Infect Dis 153:365–367

    Google Scholar 

  • Holten-Andersen W, Gerstoft J, Henriksen SA, Strandberg Pedersen N (1984) Prevalence of Cryptosporidium among patients with acute enteric infection. J Infect 9:277–282

    Article  PubMed  CAS  Google Scholar 

  • Hunt DA, Shannon R, Palmer SR, Jephcott AE (1984) Cryptosporidiosis in an urban community. Br Med J 289:814–816

    Article  CAS  Google Scholar 

  • Hurwitz AL, Owen RL (1978) Veneral transmission of intestinal parasites. (Medical Information). West J Med 128:89–91

    PubMed  CAS  Google Scholar 

  • Jackson TFHG, Sargeaunt PG, Williams JE, Simjee AE (1982) Observations on zymodeme studies of Entamoeba histolytica in Durban, South Africa. Arch Invest Med (Mex) 13 (suppl. 3): 83–88

    Google Scholar 

  • Jackson TFHG, Gathiram V, Simjee AE (1985) Seroepidemiological study of antibody responses to the zymodemes of Entamoeba histolytica. Lancet i: 716–719

    Article  Google Scholar 

  • Jokipii AMM, Hemila M, Jokipii L (1985) Prospective study of acquisition of Cryptosporidium, Giardia lamblia and gastrointestinal illness. Lancet ii: 487–489

    Article  Google Scholar 

  • Jokipii L, Pohjola S, Jokipii AMM (1983) Cryptosporidium: a frequent finding in patients with gastrointestinal symptoms. Lancet ii: 358–360

    Article  Google Scholar 

  • Jokipii L, Pohjola S, Jokipii AMM (1985a) Cryptosporidiosis associated with traveling and giardiasis. Gastroenterology 89: 838–842

    PubMed  CAS  Google Scholar 

  • Jokipii L, Pohjola S, Valle SL, Jokipii AMM (1985) Frequency, multiplicity and repertoire of intestinal protozoa in healthy homosexual men and in patients with gastrointestinal symptoms. Ann Clin Res 17: 57–59

    PubMed  CAS  Google Scholar 

  • Kazal HL, Sohn N, Carrasco JI, Robilotti JG, Delaney WE (1976) The gay bowel syndrome: clinic-pathologic correlation in 260 cases. Ann Clin Lab Sci 6:184–192

    PubMed  CAS  Google Scholar 

  • Kean BH (1976) Venereal amebiasis. NY State J Med 6:930–931

    Google Scholar 

  • Kean BH, William DC, Luminais SK (1979) Epidemic of amoebiasis and giardiasis in a biased population Br J Vener Dis 55:375–378

    PubMed  CAS  Google Scholar 

  • Keystone JS, Keystone DL, Proctor EM (1980) Intestinal parasitic infections in homosexual men: prevalence, symptoms and factors in transmission. Can Med Assoc J 123:512–514

    CAS  Google Scholar 

  • Koch KL, Phillips DJ, Aber RC, Current WL (1985) Cryptosporidiosis in hospital personnel: evidence for person to person transmission. Ann Intern Med 102:593–596

    PubMed  CAS  Google Scholar 

  • Ledford DK, Overman MD, Gonzalvo A, Cali A, Mester SW, Lockey RF (1985) Microsporidiosis myositis in a patient with the acquired immune deficiency syndrome. Arm Intern Med 102:628–630

    CAS  Google Scholar 

  • Margileth AM, Strano AJ, Chandra R, Neafic R, Blum M, McCully RM (1973) Disseminated nosematosis in an immunologically compromised infant. Arch Pathol 95:145–150

    PubMed  CAS  Google Scholar 

  • Markell EK, Havens RF, Kuritsubo RA, Wingerd J (1984) Intestinal protozoa in homosexual men of the San Francisco Bay area: prevalence and correlates of infection. Am J Trop Med Hyg 33:239–245

    PubMed  CAS  Google Scholar 

  • Mathews HM, Moss DM, Healy GR, Mildvan D (1986) Isoenzyme analysis of Entamoeba histolytica isolated from homosexual men. J Infect Dis 153:793–795

    Article  PubMed  CAS  Google Scholar 

  • Matsubayashi H, Nozawa T (1948) Experimental infection of Isospora hominis in man. Am J Trop Med Hyg 28:633–637

    CAS  Google Scholar 

  • Matsubayashi H, Koike T, Mikata I, Takei H, Hagiwara S (1959) A case of Encephalitozoon-Uke body infection in man. Arch Pathol 67:181–187

    CAS  Google Scholar 

  • McMillan A, McNeillage GJC (1984) Comparison of the sensitivity of microscopy and culture in the laboratory diagnosis of intestinal protozoal infection. J Clin Pathol 37:809–811

    Article  PubMed  CAS  Google Scholar 

  • McMillan A, Gilmour HM, McNeillage G, Scott GR (1984) Amoebiasis in homosexual men. Gut 25: 356–360

    Article  PubMed  CAS  Google Scholar 

  • Meyers JD, Kuharic HA, Holmes KK (1977)Giardia lamblia infection in homosexual men. Br J Ven Dis 53:54–55

    Google Scholar 

  • Mildvan D, Gelb AM, William D (1977) Venereal transmission of enteric pathogens in male homosexuals. JAMA 238:1387–1389

    Article  PubMed  CAS  Google Scholar 

  • Modigliani R, Bories C, Le Charpentier Y, Salmeron M, Messing B, Galian A, Rambaud JC, Lavergne A, Cochand-Priollet B, Desportes I (1985) Diarrhoea and malabsorption in acquired immune deficiency syndrome: a study of four cases with special emphasis on opportunistic protozoan infestations. Gut 26:179–187

    Article  PubMed  CAS  Google Scholar 

  • Most H (1968) Manhattan: “A tropic isle?” Am J Trop Med Hyg 17:333–354

    PubMed  CAS  Google Scholar 

  • Navin TR, Juranek DD (1984) Cryptosporidiosis: clinical, epidemiologic and parasitologic review. Rev Infect Dis 6:313–327

    Article  PubMed  CAS  Google Scholar 

  • Nime FA, Burek JD, Page DL, Holscher MA, Yardley JH (1976) Acute enterocolitis in a human being infected with the protozoan Cryptosporidium. Gastroenterology 70:592–598

    PubMed  CAS  Google Scholar 

  • Parasitic Diseases Surveillance (1983) Antibody to Encephalitozoon cuniculii in man. WHO Weekly Epidem Ree 58:30–32

    Google Scholar 

  • Pearce RB (1983) Intestinal protozoal infections and AIDS (Letter). Lancet ii: 51

    Article  Google Scholar 

  • Phillips SC, Mildvan D, William DC, Gelb AM, White MC (1981) Sexual transmission of enteric protozoa and helminths in a venereal-disease-clinic population. N Engl J Med 305:603–606

    Article  PubMed  CAS  Google Scholar 

  • Pinnolis M, Egbert PR, Font RL, Winter FC (1981) Nosematosis of the cornea. Case report, including electron microscopic studies. Arch Ophthalmol 99:1044–1047

    Article  PubMed  CAS  Google Scholar 

  • Pitlik SD, Fainstein V, Garza D et al. (1983) Human cryptosporidiosis: spectrum of disease. Report of six cases and review of the literature. Arch Intern Med 143:2269–2275

    Article  PubMed  CAS  Google Scholar 

  • Pohlenz J, Moon HW, Cheville NF, Bemrick WJ (1978) Cryptosjporidiosis as a probable factor in neonatal diarrhea of calves. J Am Vet Med Assoc 172:452–457

    PubMed  CAS  Google Scholar 

  • Portnoy D, Whiteside ME, Buckley E, MacLeod CL (1984) Treatment of intestinal cryptosporidiosis with spiramycin. Ann Intern Med 101:202–204

    PubMed  CAS  Google Scholar 

  • Quinn TC, Stamm WE, Goodell SE, Mkrtichian E, Benedetti J, Corey L, Schuffler MD, Holmes KK (1983) The polymicrobial origin of intestinal infections in homosexual men. N Engl J Med 309:576–582

    Article  PubMed  CAS  Google Scholar 

  • Ratnam S, Paddock J, McDonald E, Whitty D, Jong M, Cooper R (1985) Occurrence ofCryptosporidium oocysts in fecal samples submitted for routine microbiological examination. J din Microbiol 22:402–404

    Google Scholar 

  • Rendtorff RC (1954) The experimental transmission of human intestinal protozoan parasites II. Giardia lamblia cysts given in capsules. Am J Hyg 59:209–220

    PubMed  CAS  Google Scholar 

  • Ricci N, Toma P, Furlani M, Caselli M, Gullini S (1984) Blastocystis hominis: a neglected cause of diarrhoea? (Letter). Lancet i: 966

    Article  Google Scholar 

  • Rolston KVI, Hoy J, Mansell PWA (1986) Diarrhoea caused by “non-pathogenic amoebae” in patients with AIDS. N Engl J Med 315:192

    PubMed  CAS  Google Scholar 

  • Saltzberg DM, Hall-Craggs M (1986) Fulminant amebic colitis in a homosexual man. Am J Gastroenterol 81: 209–212

    PubMed  CAS  Google Scholar 

  • Sargeaunt PG (1985) Zymodemes expressing possible genetic exchange in Entamoeba histolytica. Trans R Soc Trop Med Hyg 79: 86–89

    Article  PubMed  CAS  Google Scholar 

  • Sargeaunt PG, Williams JE (1978) Electrophoretic isoenzyme patterns ofEntamoeba histolytica and Entamoeba coli. Trans R Soc Trop Med Hyg 72:164–166

    Article  PubMed  CAS  Google Scholar 

  • Sargeaunt PG, Williams JE, Grene JD (1978) The differentiation of invasive and non-invasiveEntamoeba histolytica by isoenzyme electrophoresis. Trans R Soc Trop Med Hyg 72:519–521

    Article  PubMed  CAS  Google Scholar 

  • Sargeaunt PG, Williams JE, Kumate J, Jimenez E (1980) The epidemiology of Entamoeba histolytica in Mexico City: a pilot survey. I. Trans R Soc Trop Med Hyg 74:653–656

    Article  CAS  Google Scholar 

  • Sargeaunt PG, Jackson TFHG, Simjee A (1982) Biochemical homogeneity of Entamoeba histolytica isolates, especially those from liver abscess. Lancet i: 1386–1388

    Article  Google Scholar 

  • Sargeaunt PG, Williams JE, Bhojnani R, Campos JE, Gomez A (1982) The epidemiology of Entamoeba histolytica in a rural and an urban area of Mexico: a pilot survey. II. Trans R Soc Trop Med Hyg 76: 208–210

    Article  PubMed  CAS  Google Scholar 

  • Sargeaunt PG, Williams JE, Bhojnani R, Kumate J, Jimenez E (1982) A review of isoenzyme characterization of Entamoeba histolytica with particular reference to pathogenic and non-pathogenic stocks isolated in Mexico. Arch Invest Med (Mex). 13 (Suppl 3): 89–94

    Google Scholar 

  • Sargeaunt PG, Williams JE, Jackson TFHG, Simjee AE (1982) A zymodeme study of Entamoeba histolytica in a group of South African school children. Trans R Soc Trop Med Hyg 76:401–402

    Article  PubMed  CAS  Google Scholar 

  • Sargeaunt PG, Oates JK, MacLennan I, Oriel JD, Goldmeier D (1983)Entamoeba histolytica in male homosexuals. Br J Vener Dis 59:193–195

    Google Scholar 

  • Sargeaunt PG, Baveja UK, Nanda R, Anand BS (1984) Influence of geographical factors in the distribution of pathogenic zymodemes of Entamoeba histolytica: identification of zymodeme XTV in India. Trans R Soc Trop Med Hyg 78:96–101

    Article  PubMed  CAS  Google Scholar 

  • Sargeaunt PG, Jackson TFHG, Wiffen S et al. (1987) The reliability ofEntamoeba histolytica zymodemes in clinical laboratory diagnosis. Arch Invest Med (Mex) 18:69–75

    CAS  Google Scholar 

  • Schmerin MJ, Gelston A, Jones TC (1977) Amebiasis. An increasing problem among homosexuals in New York City. JAMA 238:1386–1387

    Article  PubMed  CAS  Google Scholar 

  • Schmerin MJ, Jones TC, Klein H (1978) Giardiasis: association with homosexuality. Ann Intern Med 88: 801–803

    PubMed  CAS  Google Scholar 

  • Sorvillo FJ, Strassburg MA, Seidel J et al. (1986) Amebic infections in asymptomatic homosexual men, lack of evidence of invasive disease. Am J Public Health 76:1137–1139

    Article  PubMed  CAS  Google Scholar 

  • Trier JS, Moxey PC, Schimmel EM, Robles E (1974) Chronic intestinal coccidiosis in man: intestinal morphology and response to treatment. Gastroenterology 66:923–935

    PubMed  CAS  Google Scholar 

  • Tyzzer EE (1907) A sporozoan found in the peptic glands of the common mouse. Proc Soc Exp Biol Med 5:12–13

    Google Scholar 

  • Whiteside ME, Barkin JS, May RG, Weiss SD, Fischl MA, MacLeod CL (1984) Enteric coccidiosis among patients with the acquired immune deficiency syndrome. Am J Trop Med Hyg 33:1065–1072

    PubMed  CAS  Google Scholar 

  • William DC, Shookhoff HB, Felman YM, DeRamos SW (1978) High rates of enteric protozoal infections in selected homosexual men attending a venereal disease clinic. Sex Transm Dis 5:155–157

    Article  PubMed  CAS  Google Scholar 

  • Williams JE, Ellis DS, Smith MD, Daziel R (1985) Safe method for identifying Cryptosporidium cysts in the faeces of patients with suspected AIDS or those infected with other serious concomitant pathogens (Letter). J Clin Pathol 38:1313–1314

    Article  PubMed  CAS  Google Scholar 

  • Wolf A, Cowen D (1937) Granulomatous encephalomyelitis due to anEncephalitozoon (encephalitozoic encephalomyelitis). Bull Neurol Inst NY 6:306–371

    Google Scholar 

  • Wolfson JS, Hopkins CC, Weber DJ, Richter JM, Waldron MA, McCarthy DM (1984) An association betweenCryptosporidium and Giardia in stool (Letter). N Engl J Med 310:788

    PubMed  CAS  Google Scholar 

  • Ylvisaker JT, McDonald GB (1980) Sexually acquired amebic colitis and liver abscess. West J Med 132: 153–157

    PubMed  CAS  Google Scholar 

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© 1988 Springer-Verlag Berlin Heidelberg

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Allason-Jones, E. (1988). Protozoal Infections. In: Adler, M.W. (eds) Diseases in the Homosexual Male. The Bloomsbury Series in Clinical Science. Springer, London. https://doi.org/10.1007/978-1-4471-1634-9_4

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  • DOI: https://doi.org/10.1007/978-1-4471-1634-9_4

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