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Cryptosporidiosis

Another protozoan intestinal illness is cryptosporidiosis , which is usually caused by Cryptosporidium parvum or C. hominis . ( [link] ) These pathogens are commonly found in animals and can be spread in feces from mice, birds, and farm animals. Contaminated water and food are most commonly responsible for transmission. The protozoan can also be transmitted through human contact with infected animals or their feces.

In the United States, outbreaks of cryptosporidiosis generally occur through contamination of the public water supply or contaminated water at water parks, swimming pools, and day-care centers. The risk is greatest in areas with poor sanitation, making the disease more common in developing countries.

Signs and symptoms include watery diarrhea, nausea, vomiting, cramps, fever, dehydration, and weight loss. The illness is generally self-limiting within a month. However, immunocompromised patients, such as those with HIV/AIDS, are at particular risk of severe illness or death.

Diagnosis involves direct examination of stool samples, often over multiple days. As with giardiasis, a stool O&P exam may be helpful. Acid fast staining is often used. Enzyme immunoassays and molecular analysis (PCR) are available.

The first line of treatment is typically oral rehydration therapy. Medications are sometimes used to treat the diarrhea. The broad-range anti-parasitic drug nitazoxanide can be used to treat cryptosporidiosis. Other anti-parasitic drugs that can be used include azithromycin and paromomycin .

Micrograph of green glowing circles on a dark background.
Immunofluorescent staining allows for visualization of Cryptosporidium spp. (credit: modification of work by EPA/H.D.A. Lindquist)

Amoebiasis (amebiasis)

The protozoan parasite Entamoeba histolytica causes amoebiasis , which is known as amoebic dysentery in severe cases. E. histolytica is generally transmitted through water or food that has fecal contamination. The disease is most widespread in the developing world and is one of the leading causes of mortality from parasitic disease worldwide. Disease can be caused by as few as 10 cysts being transmitted.

Signs and symptoms range from nonexistent to mild diarrhea to severe amoebic dysentery. Severe infection causes the abdomen to become distended and may be associated with fever. The parasite may live in the colon without causing signs or symptoms or may invade the mucosa to cause colitis. In some cases, the disease spreads to the spleen, brain, genitourinary tract, or lungs. In particular, it may spread to the liver and cause an abscess. When a liver abscess develops, fever, nausea, liver tenderness, weight loss, and pain in the right abdominal quadrant may occur. Chronic infection may occur and is associated with intermittent diarrhea, mucus, pain, flatulence, and weight loss.

Direct examination of fecal specimens may be used for diagnosis. As with cryptosporidiosis, samples are often examined on multiple days. A stool O&P exam of fecal or biopsy specimens may be helpful. Immunoassay, serology, biopsy, molecular, and antibody detection tests are available. Enzyme immunoassay may not distinguish current from past illness. Magnetic resonance imaging (MRI) can be used to detect any liver abscesses. The first line of treatment is metronidazole or tinidazole , followed by diloxanide furoate , iodoquinol , or paromomycin to eliminate the cysts that remain.

Cyclosporiasis

The intestinal disease cyclosporiasis is caused by the protozoan Cyclospora cayetanensis . It is endemic to tropical and subtropical regions and therefore uncommon in the United States, although there have been outbreaks associated with contaminated produce imported from regions where the protozoan is more common.

This protist is transmitted through contaminated food and water and reaches the lining of the small intestine, where it causes infection. Signs and symptoms begin within seven to ten days after ingestion. Based on limited data, it appears to be seasonal in ways that differ regionally and that are poorly understood. Centers for Disease Control and Prevention. “Cyclosporiasis FAQs for Health Professionals.” Updated June 13, 2014. http://www.cdc.gov/parasites/cyclosporiasis/health_professionals/hp-faqs.html.

Some individuals do not develop signs or symptoms. Those who do may exhibit explosive and watery diarrhea, fever, nausea, vomiting, cramps, loss of appetite, fatigue, and bloating. These symptoms may last for months without treatment. Trimethoprim-sulfamethoxazole is the recommended treatment.

Microscopic examination is used for diagnosis. A stool O&P examination may be helpful. The oocysts have a distinctive blue halo when viewed using ultraviolet fluorescence microscopy ( [link] ).

Micrograph of a blue glowing sphere labeled C. cayetanensis on a black background.
Cyclospora cayetanensis are autofluorescent under ultraviolet light. (credit: modification of work by Centers for Disease Control and Prevention)
  • Which protozoan GI infections are common in the United States?

Protozoan gastrointestinal infections

Protozoan GI infections are generally transmitted through contaminated food or water, triggering diarrhea and vomiting that can lead to dehydration. Rehydration therapy is an important aspect of treatment, but most protozoan GI infections can also be treated with drugs that target protozoans.

Table titled: Protozoan Infections of the GI Tract. Columns: Disease, Pathogen, Signs and Symptoms, Transmission, Diagnostic Tests, Antimicrobial Drugs. Amoebiasis (amoebic dysentery); Entamoeba histolytica; From mild diarrhea to severe dysentery and colitis; may cause abscess on the liver; Fecal-oral route; ingestion of cysts from fecally contaminated water, food, or hands Stool O&P exam, enzyme immunoassay; Metronidazole, tinidazole, diloxanide furoate, iodoquinol, paromomycin. Cryptosporidiosis; Cryptosporidium parvum, Cryptosporidium hominis; Watery diarrhea, nausea, vomiting, cramps, fever, dehydration, and weight loss; Contact with feces of infected mice, birds, farm animals; ingestion of contaminated food or water; exposure to contaminated water while swimming or bathing ; Stool O&P exam, enzyme immunoassay, PCR; Nitazoxanide, azithromycin, and paromomycin. Cyclosporiasis; Cyclospora cayetanensis; Explosive diarrhea, fever, nausea, vomiting, cramps, loss of appetite, fatigue, bloating; Ingestion of contaminated food or water; Stool O&P exam using ultraviolet fluorescence microscopy; Trimethoprim-sulfmethoxazole. Giardiasis; Giardia lamblia; Diarrhea, nausea, stomach cramps, gas, greasy stool, dehydration if severe; sometimes malabsorption syndrome; Contact with infected individual or contaminated fomites; ingestion of contaminated food or water; Stool O&P exam; ELISA, direct fluorescence antibody assays; Metronidazole, tinidazole.

Key concepts and summary

  • Giardiasis , cryptosporidiosis , amoebiasis , and cyclosporiasis are intestinal infections caused by protozoans.
  • Protozoan intestinal infections are commonly transmitted through contaminated food and water.
  • Treatment varies depending on the causative agent, so proper diagnosis is important.
  • Microscopic examination of stool or biopsy specimens is often used in diagnosis, in combination with other approaches.

Fill in the blank

Chronic _________ infections cause the unique sign of disease of greasy stool and are often resistant to treatment.

giardia

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what is immune system
Terfa Reply
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Sonal Reply
is proceess in which an agent couses of an oganic substances breakdown into simpler substance,especially in aneorobic breakdown of suger into alcohol.
Okashat
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Jessee Reply
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Prabhat
I confused. please help me
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that is dyar's method of cell wall staining
ART___
Cetylpyridinium chloride ionize in water to form positively charged cetylpyridinium and negatively charged  chloride ions. As bacterial cell wall is negatively charged, the positively charged ions of cetylpyridinium  are adsorbed on the cell wall making it positively charged. Subsequent treatment w
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epitopes are present on the surface of
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at the tip of variable region on the antibody...where antigen and antibody binding sites combine...
Fiza
The term that is used refer to moving microbes under a microscope are referred to as?
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motile
ART___
Members of the genus Neisseria cause which of the folowing human diseases?
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genital infections
Kamaluddeen
gonorrhoea
sandip
gonorrhoea
Jessee
4. Which of the following specimens should not be refrigerated? a. Urine b. Urogenital swab
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urine
Muuse
urine
Agatha
Urine
Tean
urine
Yasser
Urine
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urine
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Details about McConkey agar
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urine
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urine
urine can be refrigerated for 24hours but only in sealed container...or else the microbes will multiply itself
ART___
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anamika Reply
a member of large number of unicellular microorganism which have cell wall but lack of cell organelles an oranised nucleus including somewhat can cause disease
Sukhdeep
Bacteria are usually composed of one cell onl to that are neither plants nor animals, microscopic, that may cause diseases or may be beneficial(in gut)... it depends upon their weapons. Nearly all animal life is dependent on Bacteria for their survival
Fiza
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anamika
what factor make bacteria colony large and how could we sterlise it in large scale
fatty
nutrient concentration temp gaseous conc ph ion or salt concentration mositure condition factors contribute to make large colony. by autoclaving we will sterilize bactetia
Sukhdeep
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Fiza
what's the difference between an antigen and a pathogen?
Pathogens are organisms that cause disease in other organisms whereas Antigen is a part of a pathogen that triggers the immune response..
Rajat
so it is the antigen that dendritic cells present to the T cells and not the pathogen itself?
no no antigen are the west product or part of the pathogen. in such case bacteria it self fight with over immune response & in another case bacteria release antigens
vasava
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vasava
pathogen are microbes that can infect the body and causw illness....antigens are the part of pathogens that alert the body to an infection
Sukhdeep
antigen is a part of blood and pathogen is foreign particle which causes diseases
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tadesse
Thanks
Karen
a pathogen is a disease causing organism while an antigen is a protein in the white blood cells which combats pathogens.
Jessee
pathogens produce antigen which attacks the cell of the host ...the antigens are proteins and are present on the surface of the pathogen
ART___
a pathogen produce antigen which attacks the cell of the host while antigens are proteins in the white blood cells which combat pathogens
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Iqra
o: body of bacteria, h: flagellate
Explain Mould
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shakey diaphragm
Curlisse
The antibody binding site is formed primarily by:
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Practice MCQ 3

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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