Microsporidia are ubiquitous parasites, inducing diseases in a large n
umber of animals species. They are being detected with increasing freq
uency in immunocompromised, in particular in HIV-infected patients. Ma
labsorption and chronic diarrhea are the main manifestations of micros
poridiosis in AIDS. Diagnosis now mainly relies on direct identificati
on of microsporidial spores in stools or urine. Electron microscopy is
still the gold standard to establish genus and species identification
on the basis of ultrastructural features. Treatment remains essential
ly symptomatic, although cure can be obtained with some species.