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Unexpectedly High Prevalence of Cystoisospora belli Infection in Acalculous Gallbladders of Immunocompetent Patients

by Noor, Mushal , Skonick, Kathryn , Abell, Rebecca L , N’kodia, Henriette D , Drage, Michael G , Whitney-Miller, Christa , Gonzalez, Raul S , Lamps, Laura W , Zhou, Zhongren , Katzman, Philip J , Findeis-Hosey, Jennifer J , Saubermann, Lawrence J , Huber, Aaron R

in Adolescent / Adult / Care and treatment / Causes of / Cholecystectomy / Coccidia - isolation & purification / Coccidiosis - epidemiology / Coccidiosis - parasitology / Coccidiosis - pathology / Coccidiosis - surgery / Cohort Studies / Female / Gallbladder / Gallbladder - parasitology / Gallbladder - pathology / Gallbladder diseases / Gallbladder Diseases - epidemiology / Gallbladder Diseases - parasitology / Gallbladder Diseases - pathology / Gallbladder Diseases - surgery / Health aspects / Humans / Identification and classification / Immunocompetence / Immunocompromised host / Laboratories / Male / Methods / Middle Aged / Original / Patient outcomes / Prevalence / Prospective Studies / Retrospective Studies / Sporozoa / Young Adult

2019

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Unexpectedly High Prevalence of Cystoisospora belli Infection in Acalculous Gallbladders of Immunocompetent Patients

2019

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Unexpectedly High Prevalence of Cystoisospora belli Infection in Acalculous Gallbladders of Immunocompetent Patients

2019

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Journal Article

Unexpectedly High Prevalence of Cystoisospora belli Infection in Acalculous Gallbladders of Immunocompetent Patients

Noor, Mushal,

Skonick, Kathryn,

Abell, Rebecca L,

N’kodia, Henriette D,

Drage, Michael G,

Whitney-Miller, Christa,

Gonzalez, Raul S,

Lamps, Laura W,

Zhou, Zhongren,

Katzman, Philip J,

Findeis-Hosey, Jennifer J,

Saubermann, Lawrence J,

Huber, Aaron R

2019

Overview

Abstract Objectives Indications for cholecystectomy have changed dramatically over the past three decades. Cystoisospora belli has been reported in cholecystectomy specimens of immunocompetent patients. The present study was designed to determine the prevalence and clinical association of C belli in the gallbladder. Methods The study included retrospective review of cholecystectomy specimens (n = 401) removed for various indications, and a prospective cohort of cholecystectomy specimens (n = 22) entirely submitted for histologic evaluation. Correlations of presence of C belli with age, sex, clinical indication, and abnormalities of preoperative laboratory values were assessed by Fisher exact test. Results C belli was identified in 39/401 (9.7%) of the retrospective cohort, and 6/22 (27.3%) of the entirely submitted specimens. The presence of C belli showed no correlation with age, sex, clinical indication, or laboratory abnormalities. Conclusions C belli resides in a latent state in the gallbladder and may be best considered a commensal organism.

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Publisher

Oxford University Press

Subject

/ Adult

/ Coccidia - isolation & purification

/ Coccidiosis - epidemiology