{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T17:10:41Z","timestamp":1725297041669},"reference-count":17,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,11,5]]},"abstract":"<jats:p>Microsporidiosis often occurs in immunocompromised persons but may also occur in those who are immunocompetent. Infection by Microsporidia involves a variety of organs and systems, most notably, intestine, lung, kidney, brain, sinuses, muscle, and eyes. <jats:italic>Enterocytozoon bieneusi<\/jats:italic> and <jats:italic>Encephalitozoon intestinalis<\/jats:italic> are associated with gastroenteritis, and <jats:italic>Enterocytozoon hellem<\/jats:italic> and <jats:italic>Encephalitozoon cuniculi<\/jats:italic> are associated with keratoconjunctivitis. We report a case of chronic microsporidiosis in a 28-year-old woman missionary from Mozambique who came to our diagnostic laboratory with nausea, lower abdominal pain, and frequent bowel movements. Over two years, the patient was clinically assessed and treated for malaria and giardiasis without laboratory diagnosis while in Mozambique. Identification of the causative agent of her condition was not attempted during the course of her illness in Mozambique. Furthermore, adverse effects of malaria and giardiasis medications may have exacerbated the chronic illness in this patient and mimicked chronic microsporidiosis.<\/jats:p>","DOI":"10.4269\/ajtmh.2010.10-0305","type":"journal-article","created":{"date-parts":[[2010,10,29]],"date-time":"2010-10-29T11:28:05Z","timestamp":1288351685000},"page":"1116-1118","source":"Crossref","is-referenced-by-count":3,"title":["Chronic Microsporidial Enteritis in a Missionary from Mozambique"],"prefix":"10.4269","volume":"83","author":[{"given":"James R.","family":"Palmieri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaadi F.","family":"Elswaifi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S.","family":"Lindsay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gretchen","family":"Junko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathy","family":"Callahan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Curr Biol","first-page":"1675","article-title":"Microsporidia evolved from ancestral sexual fungi","volume":"18","author":"Lee","year":"2008"},{"year":"2010","series-title":"Parasites and Health. 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