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Published on: November 7, 2014
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.
Aim:
Present hospital based study was carried out at our tertiary care centre with an aim to study the distribution of Cryptosporidium species subtypes in patients with complaints of diarrhea.
Background:
Cryptosporidium species are one of the important causative agents of parasitic diarrhea, amongst which Cryptosporidium hominis (C.hominis) and Cryptosporidium parvum (C.parvum) are the two major species that are associated with human cryptosporidiosis.
Methods:
Four hundred and fifty (n=450) diarrheic patients complaining of different types of diarrhea were enrolled in the present study. Both microscopic and molecular diagnostic methods were used for the detection as well as for identification of Cryptosporidium species and its speciation and subtyping.
Results:
Forty one (n=41) and forty three (n=43) patients were positive for Cryptosporidium species by microscopy and Polymerase chain reaction (PCR) assay respectively. Of these 43 cases, 70% (30/43) were identified as C. hominis and 21% (9/43) was as C. parvum, 7% (3/43) was as Cryptosporidium felis (C.felis) and 2% (1/43) as Cryptopsoridium viatorum (C. viatorum) respectively . Upon subtyping of C. hominis and C. parvum, 16 subtypes belonging to 8 different subtype families could be identified. The frequency of different families were Ia (13%, 5/39), Ib (15%, 6/39), Id (18%, 7/39), Ie (30%, 12/39) and IIa (5%, 2/39), IIc (8%, 3/39), IId (8%, 3/39) and IIe (3%, 1/39).
Conclusion:
Our study results strongly suggest and reinforces the fact that most of the human cryptosporidiosis is anthroponotic and we expect that present molecular epidemiological data will provide more insight to unravel the changing clinical paradigm of human cryptosporidiosis at large.
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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