PRINCIPAIS PROTOZOÁRIOS ENTÉRICOS OPORTUNISTAS ASSOCIADOS À AIDS: CRYPTOSPORIDIUM PARVUM, ISOSPORA BELLI, CYCLOSPORA CAYETANENSIS E MICROSPORIDIA

Gabriel Veloso Cunha, Lucas Benfica Paz, Ettore Mendes Azenha, Rosalvo Streit Junior, Douglas Araújo dos Santos Albernaz

Resumo


Introdução: Estima-se que há mais de 33 milhões de casos de aids em todo o mundo. Nesse contexto, algumas parasitoses emergem como problemas de saúde pública, aproveitando-se da suscetibilidade decorrente desse quadro clínico. Objetivos: Elencar e discutir as principais parasitoses oportunistas encontradas em indivíduos portadores de aids, explorando os ciclos de vida de seus agentes, patogenia, manifestações clínicas, prevenção, diagnóstico e tratamento. Métodos: Foram realizadas buscas, sem limites temporais, nas bases de dados virtuais Public Medline (PubMed), Scientific Electronic Library Online (SciELO) e Biblioteca Virtual em Saúde (BVS) a fim de selecionar relatos de caso, boletins epidemiológicos, trabalhos experimentais e revisões de literatura pertinentes. Resultados: Entre os principais parasitas oportunistas encontrados em pacientes portadores de aids estão os microsporídios e coccídios como: Isospora belli, Cyclospora sp. e Cryptosporidium sp., para os quais foram realizadas revisões sistemáticas de literatura neste artigo. Conclusões: É evidente a imprescindibilidade do desenvolvimento de tratamentos mais eficazes e com menores efeitos adversos, além de uma maior acurácia de diagnóstico por parte dos profissionais de saúde, e rastreamento ambiental pelas instituições competentes.


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