Differences in Clinical Manifestations amongCryptosporidiumSpecies and Subtypes in HIV‐Infected Persons
Author(s) -
Vitaliano Cama,
Jennifer M. Ross,
Sara Crawford,
Vivian Kawai,
Raul ChavezValdez,
Daniel Vargas,
Aldo Vivar,
Eduardo Ticona,
Marcos Ñavincopa,
John Williamson,
Ynés R. Ortega,
Robert H. Gilman,
Caryn Bern,
Lihua Xiao
Publication year - 2007
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/519842
Subject(s) - cryptosporidium , human immunodeficiency virus (hiv) , virology , medicine , biology , immunology , microbiology and biotechnology , feces
We performed a cross-sectional study to determine the epidemiology of Cryptosporidium in human immunodeficiency virus (HIV)-infected persons at 3 diagnostic levels: microscopy, genotypes of Cryptosporidium, and subtype families of C. hominis and C. parvum. The study enrolled 2,490 HIV-infected persons in Lima, Peru, and 230 were microscopy positive for Cryptosporidium infection. Specimens from 193 participants were available for genotyping. They had C. hominis (141 persons), C. parvum (22 persons), C. meleagridis (17 persons), C. canis (6 persons), C. felis (6 persons), and C. suis (1 person) infection. Although microscopy results showed that Cryptosporidium infections were associated with diarrhea, only infections with C. canis, C. felis, and subtype family Id of C. hominis were associated with diarrhea, and infection with C. parvum was associated with chronic diarrhea and vomiting. These results demonstrate that different Cryptosporidium genotypes and subtype families are linked to different clinical manifestations.
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