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{{Cryptosporidiosis}}
{{Cryptosporidiosis}}
==Overview==
==Overview==
==Pathophysiolgy==
Cryptosporidiosis is a zoonotic disease, humans could be infected by contact with contaminated water and through inhalation of the spores. Following transmission, white blood cells phagocyte the pathogen and transports it via hematologic or lymphatic route to different organs.<ref name="urlGeneral Information | Cryptosporidium | Parasites | CDC">{{cite web |url=https://www.cdc.gov/parasites/crypto/general.html |title=General Information &#124; Cryptosporidium &#124; Parasites &#124; CDC |format= |work= |accessdate=}}</ref><ref name="pmid22685452">{{cite journal |vauthors=Leitch GJ, He Q |title=Cryptosporidiosis-an overview |journal=J Biomed Res |volume=25 |issue=1 |pages=1–16 |year=2012 |pmid=22685452 |pmc=3368497 |doi=10.1016/S1674-8301(11)60001-8 |url=}}</ref>
===Infectious agents===
A number of species of ''Cryptosporidium'' infect mammals. In humans the main causes of disease are ''[[Cryptosporidium parvum|C. parvum]]'' and ''C. hominis'' (previously ''C. parvum'' genotype 1). ''C. canis'', ''C. felis'', ''C. meleagridis'', and ''C. muris'' can also cause disease in humans.


===Life cycle===
==Pathophysiology==
[[Image:Cryptosporidiosis 01.png|thumb|left|300px|Life cycle of ''Cryptosporidium'' spp.]]
The pathophysiology of cryptosporidiosis can be described in the following steps
===Transmission===
* Transmission of [[Cryptosporidium parvum]] and C. hominis occurs mainly through contact with contaminated water (e.g., drinking or recreational water). 
*Occasionally food sources, such as chicken salad, may serve as vehicles for transmission.
*Many outbreaks in the United States have occurred in waterparks, community swimming pools, and day care centers.  
*[[Zoonotic]] and anthroponotic transmission of C. parvum and anthroponotic transmission of C. hominis occur through exposure to infected animals or exposure to water contaminated by feces of infected animals.


===Incubation===
* Incubation period for cryptosporidiosis is of 7 days (but can vary from 2 to 10 days).
===Dissemination===
* Following ingestion (and possibly inhalation) by a suitable host, excystation occurs. 
* The sporozoites are released and parasitize [[epithelial cell]]s of the [[gastrointestinal tract]] or other tissues such as the [[respiratory tract]]. 
===Pathogenesis===
* In these cells, the parasites undergo asexual multiplication ([[schizogony]] or [[merogony]]) and then sexual multiplication ([[gametogony]]) producing microgamonts (male) and macrogamonts (female).
* Upon [[fertilization]] of the macrogamonts by the microgametes, oocysts develop that sporulate in the infected host. 
* Two different types of oocysts are produced, the thick-walled, which is commonly excreted from the host, and the thin-walled oocyst, which is primarily involved in autoinfection.
*Oocysts are infective upon excretion, thus permitting direct and immediate fecal-oral transmission.
*Oocysts of [[Cyclospora cayetanensis]], another important coccidian [[parasite]], are unsporulated at the time of excretion and do not become infective until sporulation is completed.
[[Image:Cryptosporidiosis 01.png|thumb|center|400px|Life cycle of Cryptosporidium spp.]]


==Gallery==
<gallery>


Image: Cryptosporidiosis07.jpeg| Life cycle of different species of Cryptosporidium, the causal agents of Cryptosporidiosis. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>


Crypto lives in the intestine of infected humans or animals. An infected person or animal sheds Cryptosporidium parasites in the stool. Millions of Crypto parasites can be released in a bowel movement from an infected human or animal. Shedding begins when the symptoms begin and can last for weeks after the symptoms (e.g., diarrhea) stop. You can become infected after accidentally swallowing the parasite. Crypto may be found in soil, food, water, or surfaces that have been contaminated with the feces from infected humans or animals. Crypto is not spread by contact with blood. Crypto can be spread:


*By putting something in your mouth or accidentally swallowing something that has come in contact with the stool of a person or animal infected with Crypto.


*By swallowing recreational water contaminated with Crypto. Recreational water can be contaminated with sewage or feces from humans or animals.


*By swallowing water or beverages contaminated by stool from infected humans or animals.


*By eating uncooked food contaminated with Crypto. All fruits and vegetables you plan to eat raw should be thoroughly washed with uncontaminated water.
</gallery>


*By touching your mouth with contaminated hands. Hands can become contaminated through a variety of activities, such as:


**Touching surfaces (e.g., toys, bathroom fixtures, changing tables, diaper pails) that have been contaminated by stool from an infected person,
**Changing diapers,
**Caring for an infected person, and
**Handling an infected cow or calf.
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


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Latest revision as of 17:31, 18 September 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]

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Overview

Cryptosporidiosis is a zoonotic disease, humans could be infected by contact with contaminated water and through inhalation of the spores. Following transmission, white blood cells phagocyte the pathogen and transports it via hematologic or lymphatic route to different organs.[1][2]

Pathophysiology

The pathophysiology of cryptosporidiosis can be described in the following steps

Transmission

  • Transmission of Cryptosporidium parvum and C. hominis occurs mainly through contact with contaminated water (e.g., drinking or recreational water).
  • Occasionally food sources, such as chicken salad, may serve as vehicles for transmission.
  • Many outbreaks in the United States have occurred in waterparks, community swimming pools, and day care centers.
  • Zoonotic and anthroponotic transmission of C. parvum and anthroponotic transmission of C. hominis occur through exposure to infected animals or exposure to water contaminated by feces of infected animals.

Incubation

  • Incubation period for cryptosporidiosis is of 7 days (but can vary from 2 to 10 days).

Dissemination

Pathogenesis

  • In these cells, the parasites undergo asexual multiplication (schizogony or merogony) and then sexual multiplication (gametogony) producing microgamonts (male) and macrogamonts (female).
  • Upon fertilization of the macrogamonts by the microgametes, oocysts develop that sporulate in the infected host.
  • Two different types of oocysts are produced, the thick-walled, which is commonly excreted from the host, and the thin-walled oocyst, which is primarily involved in autoinfection.
  • Oocysts are infective upon excretion, thus permitting direct and immediate fecal-oral transmission.
  • Oocysts of Cyclospora cayetanensis, another important coccidian parasite, are unsporulated at the time of excretion and do not become infective until sporulation is completed.
Life cycle of Cryptosporidium spp.

Gallery


References

  1. "General Information | Cryptosporidium | Parasites | CDC".
  2. Leitch GJ, He Q (2012). "Cryptosporidiosis-an overview". J Biomed Res. 25 (1): 1–16. doi:10.1016/S1674-8301(11)60001-8. PMC 3368497. PMID 22685452.
  3. "Public Health Image Library (PHIL)".


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