Gd. Corcoran et al., DETECTION AND IDENTIFICATION OF GASTROINTESTINAL MICROSPORIDIA USING NONINVASIVE TECHNIQUES, Journal of Clinical Pathology, 48(8), 1995, pp. 725-727
Aims-To detect enteric microsporidia in faecal specimens from patients
with the acquired immunodeficiency syndrome (AIDS), and to identify t
he spores to species level without using invasive procedures. Methods-
Formalised faecal preparations were examined using a modification of t
he strong trichrome staining method to demonstrate microsporidian spor
es. Six positive specimens were prepared for electron microscopy by em
ulsification and separation using a 9% Ficoll gradient. Results-The mo
dified staining technique readily identified microsporidian spores. Sp
ores of different species showed variation in size. Identification usi
ng electron microscopy was successful for five of the six positive spe
cimens examined. It was unsuccessful for one specimen in which spores
were less abundant on initial staining. Conclusions-The modified stron
g trichrome staining method is a useful way of detecting spores of int
estinal microsporidia in faecal specimens. Variation in spore size may
permit provisional identification by light microscopy. Electron micro
scopic examination of faecal preparations is useful for identifying sp
ores to species level.