Cryptosporidium species subtypes and associated clinical manifestations in Indian patients

Shehla Khalil1, Bijay Ranjan Mirdha1, Ashutosh Panda1

  • 1Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.

Abstract

Insights

This study identified Cryptosporidium species in diarrheic patients, finding Cryptosporidium hominis and Cryptosporidium parvum as dominant species. Molecular subtyping revealed significant diversity, highlighting the anthroponotic nature of human cryptosporidiosis.

Area of Science:

  • Medical Parasitology
  • Molecular Epidemiology
  • Infectious Diseases

Background:

  • Cryptosporidium species are significant causes of parasitic diarrhea.
  • Cryptosporidium hominis and Cryptosporidium parvum are the primary species responsible for human cryptosporidiosis.

Purpose of the Study:

  • To investigate the distribution of Cryptosporidium species and subtypes in patients presenting with diarrhea at a tertiary care center.
  • To contribute molecular epidemiological data to understand human cryptosporidiosis.

Main Methods:

  • Enrolled 450 patients with diarrhea.
  • Employed both microscopic and molecular diagnostic methods (Polymerase Chain Reaction - PCR) for detection, speciation, and subtyping of Cryptosporidium.

Main Results:

  • 43 out of 450 patients tested positive for Cryptosporidium via PCR.
  • Cryptosporidium hominis (70%) and Cryptosporidium parvum (21%) were the most prevalent species.
  • Subtyping identified 16 subtypes within 8 different subtype families for C. hominis and C. parvum.

Conclusions:

  • The findings support the anthroponotic origin of most human cryptosporidiosis cases.
  • The molecular epidemiological data provides insights into the evolving clinical landscape of human cryptosporidiosis.

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