Pulmonary cryptosporidiosis in an AIDS patient: Successful treatment with paromomycin plus azithromycin

Fabrizio Palmieri, S. Cicalini, N. Froio, E. B. Rizzi, D. Goletti, A. Festa, G. Macrí, N. Petrosillo

Research output: Contribution to journalArticle


Extra-intestinal cryptosporidiosis, especially of the biliary and respiratory tract, is likely in the course of an intestinal involvement, whereas it is rare without such a localization. We report a case of pulmonary cryptosporidiosis without apparent intestinal involvement in an AIDS patient, with favourable outcome after antimicrobial combination therapy with paromomycin plus azithromycin. The successful response to antimicrobial treatment was subsequently maintained by effective highly active antiretroviral therapy (HAART). We suggest that respiratory cryptosporidiosis should be investigated in HIV-infected patients with pulmonary symptoms and low CD4 cell count, and, if detected, treatment should include HAART plus the combination of paromomycin and azithromycin.

Original languageEnglish
Pages (from-to)515-517
Number of pages3
JournalInternational Journal of STD and AIDS
Issue number7
Publication statusPublished - Jul 2005



  • AIDS
  • Antimicrobial therapy
  • Pulmonary cryptosporidiosis

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Immunology

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